Flock, Timothy Joseph

Flock, Timothy Joseph is an individual health care provider with primary practice located at 320 Warner Dr , Lewiston ID 83501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as his primary health care specialty. Flock, Timothy Joseph can be contacted via phone (208) 743-3523.

Contact Information

Primary practice address
320 Warner Dr Lewiston ID 83501
Phone: (208) 743-3523
Fax: (208) 746-8741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X MD00032793 Washington
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X M6831 Idaho

Profile Details

NPI number 1760477368
LBN Legal business name Flock, Timothy Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jun 24th, 2016 - about 8 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 1760477368 NPPES
Idaho Other DA673 BLUE CROSS OF IDAHO
Idaho Other 00001000102 BLUE CROSS OF IDAHO
Idaho MEDICAID 8177388 BLUE CROSS OF IDAHO
Idaho MEDICAID 003688100 BLUE CROSS OF IDAHO

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