Spade, Timothy E.
Spade, Timothy E. is an individual health care provider with primary practice located at 400 W Mineral King Ave , Visalia CA 93291-6237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Spade, Timothy E. can be contacted via phone (559) 624-2215.Contact Information
Primary practice address
400 W Mineral King Ave
Visalia CA 93291-6237
Phone: (559) 624-2215
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G81912 | California |
Profile Details
NPI number | 1821009036 |
---|---|
LBN Legal business name | Spade, Timothy E. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 11th, 2006 |
Last updated | Jan 25th, 2008 - about 16 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 | 1821009036 | NPPES |
California | MEDICAID | 00G819120 |
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