Messmer, Timothy Ellis

Messmer, Timothy Ellis is an individual health care provider with primary practice located at 1401 S Laventure Rd , Mount Vernon WA 98274-6033. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Messmer, Timothy Ellis can be contacted via phone (360) 424-2400.

Contact Information

Primary practice address
1401 S Laventure Rd Mount Vernon WA 98274-6033
Phone: (360) 424-2400
Fax: (360) 424-2418
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO00000477 Washington

Profile Details

NPI number 1477552701
LBN Legal business name Messmer, Timothy Ellis
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Dec 30th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477552701 NPPES
Washington Other 43083 LABOR AND INDUSTRIES
Washington MEDICAID 1083476 LABOR AND INDUSTRIES

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