Smith, Timothy
Smith, Timothy is an individual health care provider with primary practice located at 3001 Broadmoor Blvd Ne , Rio Rancho NM 87144-2100. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Smith, Timothy can be contacted via phone (505) 994-7422.Contact Information
Primary practice address
3001 Broadmoor Blvd Ne
Rio Rancho NM 87144-2100
Phone: (505) 994-7422
Fax: (505) 994-7394
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA2016-0025 | New Mexico |
Profile Details
| NPI number | 1467589051 |
|---|---|
| LBN Legal business name | Smith, Timothy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Mar 22nd, 2017 - about 7 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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