Chestnut, Timothy Michael

Chestnut, Timothy Michael is an sole proprietor health care provider with primary practice located at 7209 S. South Meadows Rd , Spokane WA 99223. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Chestnut, Timothy Michael can be contacted via phone (509) 994-5442.

Contact Information

Primary practice address
7209 S. South Meadows Rd Spokane WA 99223
Phone: (509) 994-5442
Fax: (509) 448-8917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD00020134 Washington
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD00020134 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD 00020134 Washington

Profile Details

NPI number 1376531632
LBN Legal business name Chestnut, Timothy Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2005
Last updated May 6th, 2013 - about 11 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 1376531632 NPPES
Washington MEDICAID 1066984

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