Kelliher, Timothy Raymond
Kelliher, Timothy Raymond is an individual health care provider with primary practice located at 83 Herrick St Ste 1001 , Beverly MA 01915-2753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Kelliher, Timothy Raymond can be contacted via phone (978) 922-2226.Contact Information
Primary practice address
83 Herrick St Ste 1001
Beverly MA 01915-2753
Phone: (978) 922-2226
Fax: (978) 922-2269
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 75613 | Massachusetts |
Profile Details
| NPI number | 1043314198 |
|---|---|
| LBN Legal business name | Kelliher, Timothy Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2006 |
| Last updated | May 28th, 2020 - 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 | 1043314198 | NPPES |
| Massachusetts | MEDICAID | A20168 | |
| Massachusetts | Other | DM9771 | |
| Massachusetts | Other | J31266 | |
| Massachusetts | Other | 722666 | |
| Massachusetts | Other | 814325 |
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