Doerr, Timothy Eugene
Doerr, Timothy Eugene is an individual health care provider with primary practice located at 8854 W Emerald St Suite 140, Boise ID 83704-4844. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Doerr, Timothy Eugene can be contacted via phone (208) 321-4790.Contact Information
Primary practice address
8854 W Emerald St Suite 140
Boise ID 83704-4844
Phone: (208) 321-4790
Fax: (208) 321-4836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | M7259 | Idaho |
Profile Details
| NPI number | 1083663868 |
|---|---|
| LBN Legal business name | Doerr, Timothy Eugene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Oct 18th, 2018 - about 6 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 | 1083663868 | NPPES |
| Idaho | Other | P00171922 | TRAVELERS MEDICARE |
| Idaho | Other | 000010004063 | TRAVELERS MEDICARE |
| Idaho | MEDICAID | 804191700 | TRAVELERS MEDICARE |
| Idaho | Other | 72595 | TRAVELERS MEDICARE |
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