Emhoff, Timothy Allen
Emhoff, Timothy Allen is an individual health care provider with primary practice located at 55 Lake Ave N Umass Memorial Medical Center, Worcester MA 01655-0002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Emhoff, Timothy Allen can be contacted via phone (508) 856-1168.Contact Information
Primary practice address
55 Lake Ave N Umass Memorial Medical Center
Worcester MA 01655-0002
Phone: (508) 856-1168
Fax: (508) 856-4224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 57865 | Massachusetts |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 57865 | Massachusetts |
Profile Details
| NPI number | 1760442040 |
|---|---|
| LBN Legal business name | Emhoff, Timothy Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Apr 24th, 2017 - about 7 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 | 1760442040 | NPPES |
| Massachusetts | MEDICAID | 110044801A | |
| Massachusetts | MEDICAID | 3025403 |
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