Baxter, Timothy Norman

Baxter, Timothy Norman is an individual health care provider with primary practice located at 200 Madison Ave Ste 2B , Elmira NY 14901-3219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Baxter, Timothy Norman can be contacted via phone (607) 732-1310.

Contact Information

Primary practice address
200 Madison Ave Ste 2B Elmira NY 14901-3219
Phone: (607) 732-1310
Fax: (607) 733-0940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 176697 New York

Profile Details

NPI number 1922014976
LBN Legal business name Baxter, Timothy Norman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Nov 20th, 2020 - about 5 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 1922014976 NPPES
Pennsylvania MEDICAID 001877345
Pennsylvania Other 080180969
Pennsylvania MEDICAID 01189573

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