Menz, Timothy J
Menz, Timothy J is an individual health care provider with primary practice located at 50 Wason Ave Fl 1 , Springfield MA 01107-1280. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Menz, Timothy J can be contacted via phone (413) 794-5437.Contact Information
Primary practice address
50 Wason Ave Fl 1
Springfield MA 01107-1280
Phone: (413) 794-5437
Fax: (413) 794-8901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 273207 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | MD 14898 | Rhode Island |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 2018-01919 | North Carolina |
Profile Details
| NPI number | 1013296730 |
|---|---|
| LBN Legal business name | Menz, Timothy J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2011 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013296730 | NPPES |
| North Carolina | MEDICAID | MENZY3045 | |
| North Carolina | Other | 2018-01919 |
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