Connor, Timothy A

Connor, Timothy A is an sole proprietor health care provider with primary practice located at 211 S Woodruff Ave Suite J, Idaho Falls ID 83401-4369. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Connor, Timothy A can be contacted via phone (208) 529-5548.

Contact Information

Primary practice address
211 S Woodruff Ave Suite J Idaho Falls ID 83401-4369
Phone: (208) 529-5548
Fax: (208) 529-5588
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 202118 Idaho

Profile Details

NPI number 1780625954
LBN Legal business name Connor, Timothy A
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780625954 NPPES
Idaho Other N6279 BLUE CROSS
Idaho Other 000010155441 BLUE CROSS

Popular Providers