Ahern, Timothy

Ahern, Timothy is an individual health care provider with primary practice located at 725 N Stanley St Suite B, Medical Lake WA 99022-8940. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ahern, Timothy can be contacted via phone (509) 299-7379.

Contact Information

Primary practice address
725 N Stanley St Suite B Medical Lake WA 99022-8940
Phone: (509) 299-7379
Fax: (509) 299-7307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00008595 Washington

Profile Details

NPI number 1932258829
LBN Legal business name Ahern, Timothy
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 9th, 2007 - about 18 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 1932258829 NPPES
Washington MEDICAID 8450637
Washington Other 1350PE
Washington Other 0208406

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