Simplot, Timothy C
Simplot, Timothy C is an individual health care provider with primary practice located at 105 Valley West Dr Ste 100, West Des Moines IA 50265-3902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Simplot, Timothy C can be contacted via phone (515) 223-4368.Contact Information
Primary practice address
105 Valley West Dr Ste 100
West Des Moines IA 50265-3902
Phone: (515) 223-4368
Fax: (515) 453-2368
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 32861 | Iowa |
Profile Details
| NPI number | 1275591273 |
|---|---|
| LBN Legal business name | Simplot, Timothy C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | May 7th, 2015 - about 9 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 | 1275591273 | NPPES |
| Iowa | MEDICAID | 0190975 |
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