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
Fax: (978) 538-4705
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750541181 NPPES
Massachusetts MEDICAID 110088529A

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