Devries, Timothy J

Devries, Timothy J is an individual health care provider with primary practice located at 111 Sunnyview Ln , Kalispell MT 59901-3164. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Devries, Timothy J can be contacted via phone (406) 752-7900.

Contact Information

Primary practice address
111 Sunnyview Ln Kalispell MT 59901-3164
Phone: (406) 752-7900
Fax: (406) 257-0253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 622 Montana
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 211 Montana

Profile Details

NPI number 1487644597
LBN Legal business name Devries, Timothy J
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Nov 27th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487644597 NPPES
Montana MEDICAID 434282

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