Abrahamson, Timothy Garth
Abrahamson, Timothy Garth is an individual health care provider with primary practice located at 2424 128Th St Nw 128Th Street, Urbandale IA 50323-1816. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Abrahamson, Timothy Garth can be contacted via phone (515) 243-8676.Contact Information
Primary practice address
2424 128Th St Nw 128Th Street
Urbandale IA 50323-1816
Phone: (515) 243-8676
Fax: (515) 243-0487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 33182 | Iowa |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 33182 | Iowa |
Profile Details
| NPI number | 1245239623 |
|---|---|
| LBN Legal business name | Abrahamson, Timothy Garth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Mar 24th, 2008 - about 17 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 | 1245239623 | NPPES |
| Iowa | Other | 43541 | BLUE CROSS |
| Iowa | MEDICAID | 1233940 | BLUE CROSS |
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