Gammons, Timothy

Gammons, Timothy is an individual health care provider with primary practice located at 4845 E 14 Mile Rd , Sterling Heights MI 48310-6442. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Gammons, Timothy can be contacted via phone (586) 977-5780.

Contact Information

Primary practice address
4845 E 14 Mile Rd Sterling Heights MI 48310-6442
Phone: (586) 977-5780
Fax: (586) 977-0391
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 5101013821 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101013821 Michigan

Profile Details

NPI number 1730163023
LBN Legal business name Gammons, Timothy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Feb 26th, 2018 - about 6 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 1730163023 NPPES
Michigan Other 133449 CARE-PREFERRED CHOICES
Michigan MEDICAID 1730163023 CARE-PREFERRED CHOICES
Michigan Other H53730 CARE-PREFERRED CHOICES
Michigan Other 700H217350 CARE-PREFERRED CHOICES

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