Bombard, Tim

Bombard, Tim is an individual health care provider with primary practice located at 843 Main St # 15 , Manchester CT 06040-6020. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bombard, Tim can be contacted via phone (860) 648-3001.

Contact Information

Primary practice address
843 Main St # 15 Manchester CT 06040-6020
Fax: (860) 648-3003
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 002775 Connecticut

Profile Details

NPI number 1669470993
LBN Legal business name Bombard, Tim
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Oct 18th, 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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