Chamberlain, Timothy R
Chamberlain, Timothy R is an sole proprietor health care provider with primary practice located at 344 N. Main St. , Columbia City IN 46725. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Chamberlain, Timothy R can be contacted via phone (260) 248-2575.Contact Information
Primary practice address
344 N. Main St.
Columbia City IN 46725
Phone: (260) 248-2575
Fax: (260) 248-2726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1033472 | Indiana |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01033472A | Indiana |
Profile Details
| NPI number | 1871541375 |
|---|---|
| LBN Legal business name | Chamberlain, Timothy R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Mar 19th, 2013 - about 12 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 | 1871541375 | NPPES |
| Indiana | Other | 85760 | ANTHEM BCBS |
| Indiana | Other | P00732002 | ANTHEM BCBS |
| Indiana | Other | 020004909 | ANTHEM BCBS |
| Indiana | MEDICAID | 100263100 | ANTHEM BCBS |
| Indiana | Other | 000000603874 | ANTHEM BCBS |
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