Costa, Timothy Michael

Costa, Timothy Michael is an individual health care provider with primary practice located at 801 E Williams Ave , Fallon NV 89406-3052. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Costa, Timothy Michael can be contacted via phone (775) 867-7740.

Contact Information

Primary practice address
801 E Williams Ave Fallon NV 89406-3052
Phone: (775) 867-7740
Fax: (775) 423-4219
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 6380851-1205 Utah

Profile Details

NPI number 1265586093
LBN Legal business name Costa, Timothy Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Oct 5th, 2020 - about 6 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 1265586093 NPPES
Utah Other P00379498 MEDICARE RR
Utah Other DB3302 MEDICARE RR

Popular Providers