O'Connor, Timothy J

O'Connor, Timothy J is an individual health care provider with primary practice located at 4720 N State Road 7 Bldg B , Lauderdale Lakes FL 33319-5860. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. O'Connor, Timothy J can be contacted via phone (954) 497-3850.

Contact Information

Primary practice address
4720 N State Road 7 Bldg B Lauderdale Lakes FL 33319-5860
Phone: (954) 497-3850
Fax: (954) 497-3857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW5622 Florida

Profile Details

NPI number 1124155726
LBN Legal business name O'Connor, Timothy J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Jul 8th, 2007 - about 17 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 1124155726 NPPES
Florida MEDICAID 763866300

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