Oconnor, Tim Lawrence
Oconnor, Tim Lawrence is an individual health care provider with primary practice located at 1015 So 40Th Ave Suite 15, Yakima WA 98908-3867. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Oconnor, Tim Lawrence can be contacted via phone (509) 966-0660.Contact Information
Primary practice address
1015 So 40Th Ave Suite 15
Yakima WA 98908-3867
Phone: (509) 966-0660
Fax: (905) 965-0417
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4241 | Washington |
Profile Details
| NPI number | 1326180829 |
|---|---|
| LBN Legal business name | Oconnor, Tim Lawrence |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326180829 | NPPES |
| Washington | MEDICAID | 5391404 |
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