Caudill, Timothy G
Caudill, Timothy G is an individual health care provider with primary practice located at 401 W Poplar St , Walla Walla WA 99362-2846. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Caudill, Timothy G can be contacted via phone (509) 529-1284.Contact Information
Primary practice address
401 W Poplar St
Walla Walla WA 99362-2846
Phone: (509) 529-1284
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD00032378 | Washington |
Profile Details
| NPI number | 1720083686 |
|---|---|
| LBN Legal business name | Caudill, Timothy G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jan 21st, 2008 - about 16 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 | 1720083686 | NPPES |
| Washington | Other | 050051134 | RAILROAD MEDICARE |
| Washington | MEDICAID | 075072 | RAILROAD MEDICARE |
| Washington | MEDICAID | 8180499 | RAILROAD MEDICARE |
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