Berney, Timothy G.

Berney, Timothy G. is an individual health care provider with primary practice located at 2180 Main St , Wailuku HI 96793-1625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Berney, Timothy G. can be contacted via phone (808) 242-6464.

Contact Information

Primary practice address
2180 Main St Wailuku HI 96793-1625
Fax: (808) 243-2308
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD00041733 Washington
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 46399 Arizona
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD-18902 Hawaii

Profile Details

NPI number 1548239239
LBN Legal business name Berney, Timothy G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Mar 15th, 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 1548239239 NPPES
Arizona Other Z154775 MEDICARE ID
Arizona MEDICAID 715904 MEDICARE ID
Arizona MEDICAID 8324311 MEDICARE ID
Arizona Other AB35582 MEDICARE ID

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