Morthland, Timothy E

Morthland, Timothy E is an individual health care provider with primary practice located at 100 Dr Warren Tuttle Dr , Harrisburg IL 62946-2718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Morthland, Timothy E can be contacted via phone (618) 253-7671.

Contact Information

Primary practice address
100 Dr Warren Tuttle Dr Harrisburg IL 62946-2718
Phone: (618) 253-7671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-114335 Illinois

Profile Details

NPI number 1255375515
LBN Legal business name Morthland, Timothy E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Sep 26th, 2018 - about 7 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 1255375515 NPPES
Illinois MEDICAID 036114335

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