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
Fax: (603) 881-3739
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831768035 NPPES
New Hampshire MEDICAID 3129124

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