Allen, Timothy Graham
Allen, Timothy Graham is an individual health care provider with primary practice located at 78 Ridgewood Dr , Bangor ME 04401-2652. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Allen, Timothy Graham can be contacted via phone (207) 307-8906.Contact Information
Primary practice address
78 Ridgewood Dr
Bangor ME 04401-2652
Phone: (207) 307-8906
Fax: (207) 307-8916
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | Q3138 | Texas |
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | Q3138 | Texas |
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | MD23422 | Maine |
Profile Details
NPI number | 1871522490 |
---|---|
LBN Legal business name | Allen, Timothy Graham |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 3rd, 2006 |
Last updated | Jul 16th, 2021 - about 3 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 | 1871522490 | NPPES |
South Carolina | MEDICAID | T80686 |
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