Eldridge, Timothy J
Eldridge, Timothy J is an individual health care provider with primary practice located at 608 Nw 9Th St Ste 6200 , Oklahoma City OK 73102-1017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Eldridge, Timothy J can be contacted via phone (405) 232-4211.Contact Information
Primary practice address
608 Nw 9Th St Ste 6200
Oklahoma City OK 73102-1017
Phone: (405) 232-4211
Fax: (405) 232-3767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 21880 | Oklahoma |
Profile Details
| NPI number | 1679548572 |
|---|---|
| LBN Legal business name | Eldridge, Timothy J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Jul 26th, 2022 - about 2 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 | 1679548572 | NPPES |
| Oklahoma | MEDICAID | 100041900A |
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