National Provider Identifier Database

DAVID W BLODGETT MD PLLC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

DAVID W BLODGETT MD PLLC
375 BARCLAY DR.
ROCHESTER HILLS, MI48307
Phone: 248-852-3636
Fax: 248-852-3631
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for DAVID W BLODGETT MD PLLC

NPI Number 1790052082
Legal business name
LBN
DAVID W BLODGETT MD PLLC
Authorized official DAVID BLODGETT - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/30/2011
Last updated 11/30/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 4301075561
  • MI Medicaid: 005491912

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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