Rearden, Timothy P

Rearden, Timothy P is an individual health care provider with primary practice located at 1255 Graham Rd Div Im Medical Oncology, Ste 101, Florissant MO 63031-8014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Rearden, Timothy P can be contacted via phone (800) 647-2098.

Contact Information

Primary practice address
1255 Graham Rd Div Im Medical Oncology, Ste 101 Florissant MO 63031-8014
Phone: (800) 647-2098
Fax: (314) 362-3192
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X R2H83 Missouri

Profile Details

NPI number 1962410829
LBN Legal business name Rearden, Timothy P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Nov 15th, 2021 - about 3 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 1962410829 NPPES
Missouri MEDICAID 207853003

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