Bewley, Timothy L

Bewley, Timothy L is an individual health care provider with primary practice located at 2221 Wellness Way , Lamar CO 81052-3867. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bewley, Timothy L can be contacted via phone (719) 336-6976.

Contact Information

Primary practice address
2221 Wellness Way Lamar CO 81052-3867
Phone: (719) 336-6976
Fax: (719) 336-1221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 362 Colorado

Profile Details

NPI number 1710960497
LBN Legal business name Bewley, Timothy L
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Mar 7th, 2023 - about last year

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 1710960497 NPPES
Colorado MEDICAID 78484260

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