Malone, Timothy John

Malone, Timothy John is an sole proprietor health care provider with primary practice located at 731-F Walker Road , Great Falls VA 22066-2834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Malone, Timothy John can be contacted via phone (703) 759-7016.

Contact Information

Primary practice address
731-F Walker Road Great Falls VA 22066-2834
Fax: (703) 759-7018
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101041129 Virginia

Profile Details

NPI number 1497762785
LBN Legal business name Malone, Timothy John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Aug 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497762785 NPPES
Virginia MEDICAID 63-2250-6

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