Draper, Timothy Ryan

Draper, Timothy Ryan is an individual health care provider with primary practice located at 1131C N Church St , Greensboro NC 27401-1007. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Draper, Timothy Ryan can be contacted via phone (336) 832-7867.

Contact Information

Primary practice address
1131C N Church St Greensboro NC 27401-1007
Phone: (336) 832-7867
Fax: (336) 832-7869
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200400665 North Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 200400665 North Carolina

Profile Details

NPI number 1932144904
LBN Legal business name Draper, Timothy Ryan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Sep 27th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932144904 NPPES
North Carolina MEDICAID 5902872

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