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:
Health care specialties
| Specialty | Code | License # | 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 17 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 | 1679572952 | NPPES |
| Hawaii | Other | C43079 | HMSA PROVIDER NUMBER |
| Hawaii | MEDICAID | 03925801 | HMSA PROVIDER NUMBER |
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