Bouck, Timothy

Bouck, Timothy is an individual health care provider with primary practice located at 1840 Amherst St , Winchester VA 22601-2808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Bouck, Timothy can be contacted via phone (540) 536-7087.

Contact Information

Primary practice address
1840 Amherst St Winchester VA 22601-2808
Phone: (540) 536-7087
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 0101248936 Virginia

Profile Details

NPI number 1669586152
LBN Legal business name Bouck, Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Mar 29th, 2021 - about 4 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 1669586152 NPPES
Virginia MEDICAID 1669586152
Virginia MEDICAID 3810019813

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