Blythe, Tina Marie

Blythe, Tina Marie is an sole proprietor health care provider with primary practice located at 2560 N Texas St Ste J , Fairfield CA 94533-1649. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Blythe, Tina Marie can be contacted via phone (707) 330-6949.

Contact Information

Primary practice address
2560 N Texas St Ste J Fairfield CA 94533-1649
Fax: (707) 425-2543
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 138 California

Profile Details

NPI number 1689825762
LBN Legal business name Blythe, Tina Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2008
Last updated Jun 29th, 2021 - about 5 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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