Mcauliffe, Timothy John

Mcauliffe, Timothy John is an sole proprietor health care provider with primary practice located at 4015 East Bell Road Suite # 136, Phoenix AZ 85032-2243. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Mcauliffe, Timothy John can be contacted via phone (602) 971-5858.

Contact Information

Primary practice address
4015 East Bell Road Suite # 136 Phoenix AZ 85032-2243
Fax: (602) 404-1879
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 636 Arizona

Profile Details

NPI number 1811100761
LBN Legal business name Mcauliffe, Timothy John
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
Last updated Mar 7th, 2023 - about last year

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 1811100761 NPPES
Arizona Other 86-0649146 VISION SERVICE PLAN TAXID
Arizona Other AZ0636 VISION SERVICE PLAN TAXID

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