Bernard, Timothy N

Bernard, Timothy N is an individual health care provider with primary practice located at 632 W Gibson Rd , Woodland CA 95695. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bernard, Timothy N can be contacted via phone (530) 666-1631.

Contact Information

Primary practice address
632 W Gibson Rd Woodland CA 95695
Phone: (530) 666-1631
Fax: (530) 668-4777
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E2421 California

Profile Details

NPI number 1134148869
LBN Legal business name Bernard, Timothy N
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Mar 4th, 2010 - about 14 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 1134148869 NPPES
California Other P00745140 MEDICARE RAILROAD CARRIER
California Other 480018216 MEDICARE RAILROAD CARRIER
California Other 000E24210 MEDICARE RAILROAD CARRIER
California MEDICAID 000E24211 MEDICARE RAILROAD CARRIER

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