Devitt, Timothy J
Devitt, Timothy J is an sole proprietor health care provider with primary practice located at 1116 S College Mall Rd , Bloomington IN 47401-6178. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Devitt, Timothy J can be contacted via phone (812) 332-2204.Contact Information
Primary practice address
1116 S College Mall Rd
Bloomington IN 47401-6178
Phone: (812) 332-2204
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 12010652A | Indiana |
Profile Details
| NPI number | 1164475323 |
|---|---|
| LBN Legal business name | Devitt, Timothy J |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2006 |
| Last updated | May 7th, 2019 - about 5 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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