Greydanus, Timothy P

Greydanus, Timothy P is an individual health care provider with primary practice located at 4102 Pinion Dr 10Th Medical Group, Usaf Academy CO 80840-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Greydanus, Timothy P can be contacted via phone (719) 333-7993.

Contact Information

Primary practice address
4102 Pinion Dr 10Th Medical Group Usaf Academy CO 80840-2502
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00043993 Washington

Profile Details

NPI number 1407800360
LBN Legal business name Greydanus, Timothy P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jun 26th, 2015 - about 9 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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