O'Connor, Timothy John
O'Connor, Timothy John is an individual health care provider with primary practice located at 17 Riverside St Ste 101 , Nashua NH 03062-1383. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. O'Connor, Timothy John can be contacted via phone (603) 883-0091.Contact Information
Primary practice address
17 Riverside St Ste 101
Nashua NH 03062-1383
Phone: (603) 883-0091
Fax: (603) 881-3739
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1755 | New Hampshire |
Profile Details
NPI number | 1831768035 |
---|---|
LBN Legal business name | O'Connor, Timothy John |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2021 |
Last updated | Jan 26th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831768035 | NPPES |
New Hampshire | MEDICAID | 3129124 |
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