Davoren, Timothy P
Davoren, Timothy P is an individual health care provider with primary practice located at 33 Sewall St , Portland ME 04102-2603. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Davoren, Timothy P can be contacted via phone (207) 828-2100.Contact Information
Primary practice address
33 Sewall St
Portland ME 04102-2603
Phone: (207) 828-2100
Fax: (207) 828-2190
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT1285 | Maine |
Profile Details
NPI number | 1588648869 |
---|---|
LBN Legal business name | Davoren, Timothy P |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 1st, 2005 |
Last updated | Aug 26th, 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 | 1588648869 | NPPES |
Maine | MEDICAID | 010378502 |
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