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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265586093 | NPPES |
| Utah | Other | P00379498 | MEDICARE RR |
| Utah | Other | DB3302 | MEDICARE RR |
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