Millea, Timothy P

Millea, Timothy P is an individual health care provider with primary practice located at 2300 53Rd Ave Suite 100, Bettendorf IA 52722-7564. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Millea, Timothy P can be contacted via phone (563) 322-0971.

Contact Information

Primary practice address
2300 53Rd Ave Suite 100 Bettendorf IA 52722-7564
Phone: (563) 322-0971
Fax: (563) 324-0615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 28751 Iowa
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 036075860 Illinois

Profile Details

NPI number 1942288139
LBN Legal business name Millea, Timothy P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Mar 18th, 2011 - about 13 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 1942288139 NPPES
Iowa MEDICAID 0084335
Iowa Other 1602944
Iowa Other 58096
Iowa Other 041993
Iowa Other IA0144
Iowa Other 8121085
Iowa Other 200029104
Iowa Other 15561
Iowa Other T80827
Iowa Other 19769
Iowa Other 57863

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