Hooper, Timothy D
Hooper, Timothy D is an sole proprietor health care provider with primary practice located at 13951 Mono Way Ste A, Sonora CA 95370-4856. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Hooper, Timothy D can be contacted via phone (209) 532-3370.Contact Information
Primary practice address
13951 Mono Way Ste A
Sonora CA 95370-4856
Phone: (209) 532-3370
Fax: (209) 532-3340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G55188 | California |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | G55188 | California |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | G55188 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | G55188 | California |
Profile Details
| NPI number | 1629097399 |
|---|---|
| LBN Legal business name | Hooper, Timothy D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Apr 6th, 2011 - about 13 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 | 1629097399 | NPPES |
| California | MEDICAID | ZZZ20686Z |
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