O'Connor, Timothy Allen

O'Connor, Timothy Allen is an individual health care provider with primary practice located at 1600 E Broadway , Columbia MO 65201-5844. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. O'Connor, Timothy Allen can be contacted via phone (573) 815-3600.

Contact Information

Primary practice address
1600 E Broadway Columbia MO 65201-5844
Phone: (573) 815-3600
Fax: (573) 815-3716
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X R9H49 Missouri

Profile Details

NPI number 1215016621
LBN Legal business name O'Connor, Timothy Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2006
Last updated Jul 8th, 2007 - about 18 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 1215016621 NPPES
Other 10894794 CAQH PROVIDER ID
Other 106571 CAQH PROVIDER ID
Other 289639 CAQH PROVIDER ID
Other 3837 CAQH PROVIDER ID

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