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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477552057 | NPPES |
| Indiana | Other | 1009224 | TRICARE |
| Indiana | MEDICAID | 200073640 | TRICARE |
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