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:
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Health care specialties

SpecialtyCodeLicense #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 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245239623 NPPES
Iowa Other 43541 BLUE CROSS
Iowa MEDICAID 1233940 BLUE CROSS

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