Blanc, Theddy Richard

Blanc, Theddy Richard is an individual health care provider with primary practice located at 3100 N Tenaya Way , Las Vegas NV 89128-0436. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Blanc, Theddy Richard can be contacted via phone (702) 962-9551.

Contact Information

Primary practice address
3100 N Tenaya Way Las Vegas NV 89128-0436
Phone: (702) 962-9551
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X DO3087 Nevada
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DO3087 Nevada

Profile Details

NPI number 1881155497
LBN Legal business name Blanc, Theddy Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2019
Last updated Mar 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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