Divens, Timothy D
Divens, Timothy D is an individual health care provider with primary practice located at 9998 Crosspoint Blvd Ste 200 , Indianapolis IN 46256-3307. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Divens, Timothy D can be contacted via phone (317) 579-2150.Contact Information
Primary practice address
9998 Crosspoint Blvd Ste 200
Indianapolis IN 46256-3307
Phone: (317) 579-2150
Fax: (317) 579-2130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 1050545 | Indiana |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 01050545A | Indiana |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 01050545A | Indiana |
Profile Details
| NPI number | 1164416475 |
|---|---|
| LBN Legal business name | Divens, Timothy D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Dec 24th, 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 | 1164416475 | NPPES |
| Indiana | Other | 300124562 | RAILROAD MEDICARE |
| Indiana | Other | P00024122 | RAILROAD MEDICARE |
| Indiana | Other | 000000204809 | RAILROAD MEDICARE |
| Indiana | Other | 300138597 | RAILROAD MEDICARE |
| Indiana | Other | P00023582 | RAILROAD MEDICARE |
| Indiana | Other | P00023583 | RAILROAD MEDICARE |
| Indiana | Other | P00023584 | RAILROAD MEDICARE |
| Indiana | Other | P00024079 | RAILROAD MEDICARE |
| Indiana | Other | P00024419 | RAILROAD MEDICARE |
| Indiana | Other | P00023585 | RAILROAD MEDICARE |
| Indiana | Other | P00024260 | RAILROAD MEDICARE |
| Indiana | Other | P00024421 | RAILROAD MEDICARE |
| Indiana | Other | P00346514 | RAILROAD MEDICARE |
| Indiana | MEDICAID | 20025310A | RAILROAD MEDICARE |
| Indiana | Other | P000233634 | RAILROAD MEDICARE |
| Indiana | Other | P00023634 | RAILROAD MEDICARE |
| Indiana | Other | P00024059 | RAILROAD MEDICARE |
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