Provow, Timothy Paul
Provow, Timothy Paul is an individual health care provider with primary practice located at 3550 Mullan Rd Suite 103, Missoula MT 59808-5168. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Provow, Timothy Paul can be contacted via phone (406) 728-8420.Contact Information
Primary practice address
3550 Mullan Rd Suite 103
Missoula MT 59808-5168
Phone: (406) 728-8420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 9586 | Montana |
Profile Details
| NPI number | 1942299904 |
|---|---|
| LBN Legal business name | Provow, Timothy Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Jul 8th, 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 | 1942299904 | NPPES |
| Montana | MEDICAID | 0027387 |
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