Sefa, Timothy Wayne

Sefa, Timothy Wayne is an individual health care provider with primary practice located at 35000 Guadalcanal Ave , San Diego CA 92140-5599. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Sefa, Timothy Wayne can be contacted via phone (619) 524-8307.

Contact Information

Primary practice address
35000 Guadalcanal Ave San Diego CA 92140-5599
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1851587075
LBN Legal business name Sefa, Timothy Wayne
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2007
Last updated Sep 20th, 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.

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