Burchfiel, Timothy Pat
Burchfiel, Timothy Pat is an sole proprietor health care provider with primary practice located at 628 N 129Th St , Omaha NE 68154-6107. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Burchfiel, Timothy Pat can be contacted via phone (402) 492-9398.Contact Information
Primary practice address
628 N 129Th St
Omaha NE 68154-6107
Phone: (402) 492-9398
Fax: (402) 431-0226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6494 | Nebraska |
Profile Details
| NPI number | 1104886423 |
|---|---|
| LBN Legal business name | Burchfiel, Timothy Pat |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Sep 5th, 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 | 1104886423 | NPPES |
| Nebraska | MEDICAID | 10025452300 |
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