Cleary, Timothy

Cleary, Timothy is an individual health care provider with primary practice located at 1150 Graham Rd Ste 102 , Florissant MO 63031-8077. He recently has only one registered license in Nursing Service Providers / Case Management, which is considered as his primary health care specialty. Cleary, Timothy can be contacted via phone (314) 343-6015.

Contact Information

Primary practice address
1150 Graham Rd Ste 102 Florissant MO 63031-8077
Phone: (314) 343-6015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 2006002353 Missouri

Profile Details

NPI number 1023760279
LBN Legal business name Cleary, Timothy
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2022
Last updated Jan 19th, 2022 - about 2 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 1023760279 NPPES
Missouri Other 2006002353 RN

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