Blizzard, Timothy
Blizzard, Timothy is an individual health care provider with primary practice located at 3801 University Lake Dr , Anchorage AK 99508-4639. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Blizzard, Timothy can be contacted via phone (907) 563-8876.Contact Information
Primary practice address
3801 University Lake Dr
Anchorage AK 99508-4639
Phone: (907) 563-8876
Fax: (907) 762-6305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 802 | Alaska |
Profile Details
| NPI number | 1073576088 |
|---|---|
| LBN Legal business name | Blizzard, Timothy |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073576088 | NPPES |
| Alaska | MEDICAID | PT4548 |
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