Beaver, Timothy Alan

Beaver, Timothy Alan is an individual health care provider with primary practice located at 4000 Cambridge St Ste G600 , Kansas City KS 66160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Beaver, Timothy Alan can be contacted via phone (913) 588-9600.

Contact Information

Primary practice address
4000 Cambridge St Ste G600 Kansas City KS 66160
Phone: (913) 588-9600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 10743 New Hampshire
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 04-29957 Kansas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0429957 Kansas

Profile Details

NPI number 1225084619
LBN Legal business name Beaver, Timothy Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Nov 21st, 2019 - 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 1225084619 NPPES
New Hampshire MEDICAID 30207056
New Hampshire MEDICAID 1014021

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