Crowley, Timothy M
Crowley, Timothy M is an individual health care provider with primary practice located at 4405 Bellemeade Ave Ste 101, Evansville IN 47714-0682. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Crowley, Timothy M can be contacted via phone (812) 474-1010.Contact Information
Primary practice address
4405 Bellemeade Ave Ste 101
Evansville IN 47714-0682
Phone: (812) 474-1010
Fax: (812) 485-2476
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01029433 | Indiana |
Profile Details
NPI number | 1407851371 |
---|---|
LBN Legal business name | Crowley, Timothy M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2005 |
Last updated | Dec 17th, 2009 - about 15 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 | 1407851371 | NPPES |
Indiana | MEDICAID | 200316700 | |
Indiana | Other | 231380 | |
Indiana | Other | 180040683 | |
Indiana | Other | 000000181187 |
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