Stoddard, Timothy J
Stoddard, Timothy J is an individual health care provider with primary practice located at 1450 Aviation Dr Suite 202, Hailey ID 83333-8785. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychosomatic Medicine, which is considered as his primary health care specialty. Stoddard, Timothy J can be contacted via phone (208) 727-8970.Contact Information
Primary practice address
1450 Aviation Dr Suite 202
Hailey ID 83333-8785
Phone: (208) 727-8970
Fax: (208) 727-8979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychosomatic Medicine | 2084P0015X | M-8916 | Idaho |
Profile Details
| NPI number | 1821212788 |
|---|---|
| LBN Legal business name | Stoddard, Timothy J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Oct 29th, 2013 - about 12 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 | 1821212788 | NPPES |
| Idaho | MEDICAID | 1821212788 |
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