Tedrow, Clarence William

Tedrow, Clarence William is an sole proprietor health care provider with primary practice located at 5362 Lemee Ln , Mariposa CA 95338-9556. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Tedrow, Clarence William can be contacted via phone (209) 966-2000.

Contact Information

Primary practice address
5362 Lemee Ln Mariposa CA 95338-9556
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X C034610415 California

Profile Details

NPI number 1457863300
LBN Legal business name Tedrow, Clarence William
Credentials CADC-CAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2017
Last updated Nov 1st, 2017 - 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.

Request for update

Popular Providers