Draper, Timothy S
Draper, Timothy S is an individual health care provider with primary practice located at 1 Essex Center Dr. Lahey Northshore, Peabody MA 01960-2901. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Draper, Timothy S can be contacted via phone (978) 538-4200.Contact Information
Primary practice address
1 Essex Center Dr. Lahey Northshore
Peabody MA 01960-2901
Phone: (978) 538-4200
Fax: (978) 538-4705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 243448 | Massachusetts |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 243448 | Massachusetts |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 243448 | Massachusetts |
Profile Details
| NPI number | 1750541181 |
|---|---|
| LBN Legal business name | Draper, Timothy S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2008 |
| Last updated | Sep 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750541181 | NPPES |
| Massachusetts | MEDICAID | 110088529A |
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