Nydam, Timothy A.

Nydam, Timothy A. is an sole proprietor health care provider with primary practice located at 1585 3Rd St , Fort Polk LA 71459-5102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Nydam, Timothy A. can be contacted via phone (337) 531-3701.

Contact Information

Primary practice address
1585 3Rd St Fort Polk LA 71459-5102
Phone: (337) 531-3701
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 04-37803 Kansas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 10115 South Dakota

Profile Details

NPI number 1972714533
LBN Legal business name Nydam, Timothy A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2007
Last updated Nov 2nd, 2021 - about 5 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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