Oldfather, Timothy

Oldfather, Timothy is an individual health care provider with primary practice located at 82 Puuhonu Pl Suite 202, Hilo HI 96720-2010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Oldfather, Timothy can be contacted via phone (808) 933-3040.

Contact Information

Primary practice address
82 Puuhonu Pl Suite 202 Hilo HI 96720-2010
Phone: (808) 933-3040
Fax: (808) 933-3075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD3343 Hawaii

Profile Details

NPI number 1679572952
LBN Legal business name Oldfather, Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679572952 NPPES
Hawaii Other C43079 HMSA PROVIDER NUMBER
Hawaii MEDICAID 03925801 HMSA PROVIDER NUMBER

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