Cork, Timothy Wayne
Cork, Timothy Wayne is an individual health care provider with primary practice located at 2201 Ironwood Pl , Coeur D Alene ID 83814-2670. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Cork, Timothy Wayne can be contacted via phone (208) 769-4222.Contact Information
Primary practice address
2201 Ironwood Pl
Coeur D Alene ID 83814-2670
Phone: (208) 769-4222
Fax: (208) 771-0628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1174000566 |
|---|---|
| LBN Legal business name | Cork, Timothy Wayne |
| Credentials | CPRP, BS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2018 |
| Last updated | Jul 27th, 2018 - about 8 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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