Ryschon, Timothy Wayne

Ryschon, Timothy Wayne is an individual health care provider with primary practice located at 2 Portofino Dr Ste 2107 , Pensacola Beach FL 32561-2503. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Ryschon, Timothy Wayne can be contacted via phone (720) 206-7058.

Contact Information

Primary practice address
2 Portofino Dr Ste 2107 Pensacola Beach FL 32561-2503
Phone: (720) 206-7058
Fax: (866) 614-6108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 67784 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 44159 Arizona
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 43417 Colorado

Profile Details

NPI number 1730183526
LBN Legal business name Ryschon, Timothy Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Sep 26th, 2023 - about last year

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 1730183526 NPPES
Arizona MEDICAID 611583
Arizona MEDICAID 02783533

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