Chavis, Timothy V

Chavis, Timothy V is an individual health care provider with primary practice located at 714 W Pine St , Newport WA 99156-9046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Chavis, Timothy V can be contacted via phone (509) 447-2441.

Contact Information

Primary practice address
714 W Pine St Newport WA 99156-9046
Phone: (509) 447-2441
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD60099687 Washington

Profile Details

NPI number 1023099397
LBN Legal business name Chavis, Timothy V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jun 28th, 2019 - about 7 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 1023099397 NPPES
Washington MEDICAID 2003336

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