Monahan, Timothy James

Monahan, Timothy James is an individual health care provider with primary practice located at 2016 S Main St , Maryville MO 64468-2655. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Monahan, Timothy James can be contacted via phone (660) 563-2525.

Contact Information

Primary practice address
2016 S Main St Maryville MO 64468-2655
Phone: (660) 563-2525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2004021600 Missouri
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 04-37130 Kansas
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 2004021600 Missouri
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 04-37130 Kansas

Profile Details

NPI number 1457348203
LBN Legal business name Monahan, Timothy James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Nov 16th, 2021 - about 4 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 1457348203 NPPES
Kansas MEDICAID 200688130B

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