O'Mara, Timothy J
O'Mara, Timothy J is an individual health care provider with primary practice located at 481 Kingstown Rd , Wakefield RI 02879-3626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. O'Mara, Timothy J can be contacted via phone (401) 789-0283.Contact Information
Primary practice address
481 Kingstown Rd
Wakefield RI 02879-3626
Phone: (401) 789-0283
Fax: (401) 789-0314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD08795 | Rhode Island |
Profile Details
| NPI number | 1205879608 |
|---|---|
| LBN Legal business name | O'Mara, Timothy J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jul 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205879608 | NPPES |
| Rhode Island | MEDICAID | TO21159 | |
| Rhode Island | Other | RI8795 | |
| Rhode Island | Other | 005002 | |
| Rhode Island | Other | 0400880 | |
| Rhode Island | Other | MD08795 |
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