Govaerts, Timothy C

Govaerts, Timothy C is an individual health care provider with primary practice located at 1760 Prairie Ave Ste 100 , Cheyenne WY 82009-4833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Govaerts, Timothy C can be contacted via phone (307) 263-4022.

Contact Information

Primary practice address
1760 Prairie Ave Ste 100 Cheyenne WY 82009-4833
Fax: (307) 263-4023
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X DR.0052036 Colorado
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 12924A Wyoming

Profile Details

NPI number 1780633610
LBN Legal business name Govaerts, Timothy C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Nov 11th, 2022 - about 3 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 1780633610 NPPES
Nebraska MEDICAID 91175934813

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