Eddy, Timothy J

Eddy, Timothy J is an individual health care provider with primary practice located at 266 Main St , Gardner MA 01440-2927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eddy, Timothy J can be contacted via phone (978) 630-5030.

Contact Information

Primary practice address
266 Main St Gardner MA 01440-2927
Phone: (978) 630-5030
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 80830 Massachusetts

Profile Details

NPI number 1376549584
LBN Legal business name Eddy, Timothy J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Sep 26th, 2014 - about 10 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 1376549584 NPPES
Other 221868 UGS
MEDICAID 1320815 UGS
Other M18970 UGS

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