Blodgett, Debra Joy
Blodgett, Debra Joy is an sole proprietor health care provider with primary practice located at 23 S Main St , Hartford WI 53027-1867. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Blodgett, Debra Joy can be contacted via phone (262) 673-6764.Contact Information
Primary practice address
23 S Main St
Hartford WI 53027-1867
Phone: (262) 673-6764
Fax: (262) 673-6845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3293 | Wisconsin |
Profile Details
| NPI number | 1083728893 |
|---|---|
| LBN Legal business name | Blodgett, Debra Joy |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083728893 | NPPES |
| Wisconsin | MEDICAID | 38892400 |
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