Canterbury, Timothy D.W.

Canterbury, Timothy D.W. is an individual health care provider with primary practice located at 1600 Medical Center Dr Suite 2500, Huntington WV 25701-3656. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Canterbury, Timothy D.W. can be contacted via phone (304) 691-1200.

Contact Information

Primary practice address
1600 Medical Center Dr Suite 2500 Huntington WV 25701-3656
Phone: (304) 691-1200
Fax: (304) 691-1287
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 14461 West Virginia
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 14461 West Virginia

Profile Details

NPI number 1083674790
LBN Legal business name Canterbury, Timothy D.W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Nov 22nd, 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 1083674790 NPPES
Ohio MEDICAID 0787073
Ohio MEDICAID 0124797000
Ohio MEDICAID 64698491

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