Short, Timothy B.
Short, Timothy B. is an individual health care provider with primary practice located at Lee St Fl 3 , Charlottesville VA 22908-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Short, Timothy B. can be contacted via phone (434) 243-6361.Contact Information
Primary practice address
Lee St Fl 3
Charlottesville VA 22908-0001
Phone: (434) 243-6361
Fax: (434) 243-6280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101040226 | Virginia |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | 0101040226 | Virginia |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | 036-126666 | Illinois |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 0101040226 | Virginia |
Profile Details
| NPI number | 1801866835 |
|---|---|
| LBN Legal business name | Short, Timothy B. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Sep 12th, 2014 - about 10 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 | 1801866835 | NPPES |
| Virginia | Other | 080141641 | MEDICARE PIN |
| Virginia | Other | 234064 | MEDICARE PIN |
| Virginia | Other | 267138 | MEDICARE PIN |
| Virginia | Other | 700010935 | MEDICARE PIN |
| Virginia | MEDICAID | 45187 | MEDICARE PIN |
| Virginia | Other | 142901 | MEDICARE PIN |
| Virginia | Other | P00212563 | MEDICARE PIN |
| Virginia | MEDICAID | 005638623 | MEDICARE PIN |
| Virginia | Other | 45187 | MEDICARE PIN |
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