Conner, Timothy A.

Conner, Timothy A. is an individual health care provider with primary practice located at 17310 Wright St Ste 103 , Omaha NE 68130-2405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Conner, Timothy A. can be contacted via phone (833) 228-6889.

Contact Information

Primary practice address
17310 Wright St Ste 103 Omaha NE 68130-2405
Phone: (833) 228-6889
Fax: (877) 853-0376
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MTL-2023-028 Guam
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 11756C Wyoming
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 15495 North Dakota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2018035939 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MC-198 Guam
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 15891 West Virginia

Profile Details

NPI number 1750385357
LBN Legal business name Conner, Timothy A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Dec 28th, 2023 - about last year

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 1750385357 NPPES
West Virginia Other 14193 CARELINK & CARELINK PEIA
West Virginia Other 151237200 CARELINK & CARELINK PEIA
West Virginia Other 020011800 CARELINK & CARELINK PEIA
West Virginia MEDICAID 14175 CARELINK & CARELINK PEIA
West Virginia Other 550516458 CARELINK & CARELINK PEIA
West Virginia MEDICAID 64942105 CARELINK & CARELINK PEIA
West Virginia MEDICAID 0119966000 CARELINK & CARELINK PEIA
West Virginia MEDICAID 2047190 CARELINK & CARELINK PEIA
West Virginia Other 55-0516458 CARELINK & CARELINK PEIA
West Virginia Other 000034924 CARELINK & CARELINK PEIA
West Virginia Other 0130753 CARELINK & CARELINK PEIA
West Virginia MEDICAID 550516458 CARELINK & CARELINK PEIA
West Virginia Other F23457 CARELINK & CARELINK PEIA

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