Korber, Timothy Earl
Korber, Timothy Earl is an sole proprietor health care provider with primary practice located at 825 Emerald Bay , Laguna Beach CA 92651-1228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Korber, Timothy Earl can be contacted via phone (949) 494-5154.Contact Information
Primary practice address
825 Emerald Bay
Laguna Beach CA 92651-1228
Phone: (949) 494-5154
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G58497 | California |
Profile Details
| NPI number | 1104881481 |
|---|---|
| LBN Legal business name | Korber, Timothy Earl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Jun 2nd, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104881481 | NPPES |
| California | MEDICAID | 00G584970 |
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