Cloonan, Timothy G

Cloonan, Timothy G is an individual health care provider with primary practice located at 3050 N Circle Dr , Colorado Springs CO 80909-1175. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Cloonan, Timothy G can be contacted via phone (719) 593-1799.

Contact Information

Primary practice address
3050 N Circle Dr Colorado Springs CO 80909-1175
Phone: (719) 593-1799
Fax: (719) 265-3794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 49946 Colorado

Profile Details

NPI number 1750332995
LBN Legal business name Cloonan, Timothy G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 27th, 2016 - about 9 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 1750332995 NPPES
Indiana MEDICAID 200279180
Indiana MEDICAID 2271518
Indiana Other 11989
Indiana MEDICAID 4300613100
Indiana Other 000000196823
Indiana MEDICAID 42872286

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