Street, Timothy N
Street, Timothy N is an individual health care provider with primary practice located at 1600 Division Rd , Great Falls MT 59404-1921. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Street, Timothy N can be contacted via phone (406) 268-1600.Contact Information
Primary practice address
1600 Division Rd
Great Falls MT 59404-1921
Phone: (406) 268-1600
Fax: (406) 771-3549
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 143 | Montana |
Profile Details
| NPI number | 1285635136 |
|---|---|
| LBN Legal business name | Street, Timothy N |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Aug 12th, 2011 - about 13 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 | 1285635136 | NPPES |
| Montana | MEDICAID | 0436800 |
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