Johnson, Timothy Donald

Johnson, Timothy Donald is an individual health care provider with primary practice located at 931 Highland Blvd #3350, Bozeman MT 59715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Johnson, Timothy Donald can be contacted via phone (406) 586-3309.

Contact Information

Primary practice address
931 Highland Blvd #3350 Bozeman MT 59715
Phone: (406) 586-3309
Fax: (406) 522-8498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 7982 Montana
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4385A Wyoming
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 26812 Wisconsin

Profile Details

NPI number 1952495756
LBN Legal business name Johnson, Timothy Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Mar 3rd, 2009 - about 16 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 1952495756 NPPES
Other S0480698 IRS EIN
Other 000011161 IRS EIN
MEDICAID 0019786 IRS EIN

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