Teslow, Timothy Walter
Teslow, Timothy Walter is an sole proprietor health care provider with primary practice located at 1275 Sadler Way Suite 102, Fairbanks AK 99701-3175. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Teslow, Timothy Walter can be contacted via phone (907) 457-7874.Contact Information
Primary practice address
1275 Sadler Way Suite 102
Fairbanks AK 99701-3175
Phone: (907) 457-7874
Fax: (907) 457-7060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 3579 | Alaska |
Profile Details
| NPI number | 1841321890 |
|---|---|
| LBN Legal business name | Teslow, Timothy Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jun 5th, 2008 - about 17 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 | 1841321890 | NPPES |
| Alaska | MEDICAID | MD17701 |
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