Glass, Timothy Allen

Glass, Timothy Allen is an individual health care provider with primary practice located at 8240 Naab Rd Suite 100, Indianapolis IN 46260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Glass, Timothy Allen can be contacted via phone (317) 872-9580.

Contact Information

Primary practice address
8240 Naab Rd Suite 100 Indianapolis IN 46260
Phone: (317) 872-9580
Fax: (317) 872-6043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01044838A Indiana

Profile Details

NPI number 1477552057
LBN Legal business name Glass, Timothy Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Aug 3rd, 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 1477552057 NPPES
Indiana Other 1009224 TRICARE
Indiana MEDICAID 200073640 TRICARE

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