Frost, Timothy W

Frost, Timothy W is an individual health care provider with primary practice located at 1401 10Th St Suite C, Alamogordo NM 88310-5012. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Frost, Timothy W can be contacted via phone (505) 437-4533.

Contact Information

Primary practice address
1401 10Th St Suite C Alamogordo NM 88310-5012
Fax: (505) 437-5009
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 93260 New Mexico

Profile Details

NPI number 1275575383
LBN Legal business name Frost, Timothy W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated May 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275575383 NPPES
New Mexico Other 201074548 PRESBYTERIAN
New Mexico Other 013135 PRESBYTERIAN
New Mexico Other 742841473 PRESBYTERIAN
New Mexico MEDICAID 44378 PRESBYTERIAN

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