Mccarthy, Timothy J.
Mccarthy, Timothy J. is an sole proprietor health care provider with primary practice located at 8400 Normandale Lake Blvd Suite 920, Bloomington MN 55437-1085. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mccarthy, Timothy J. can be contacted via phone (952) 921-8248.Contact Information
Primary practice address
8400 Normandale Lake Blvd Suite 920
Bloomington MN 55437-1085
Phone: (952) 921-8248
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP 2386 | Minnesota |
Profile Details
NPI number | 1972541704 |
---|---|
LBN Legal business name | Mccarthy, Timothy J. |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 3rd, 2006 |
Last updated | Aug 10th, 2012 - about 12 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 | 1972541704 | NPPES |
Minnesota | Other | 26773MC | BLUECROSS |
Minnesota | Other | 875-001 | BLUECROSS |
Minnesota | Other | 61-20100 | BLUECROSS |
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