Tice, Timothy V.

Tice, Timothy V. is an individual health care provider with primary practice located at 2580 E Main St Suite 200, Ventura CA 93003-2646. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Tice, Timothy V. can be contacted via phone (805) 653-0088.

Contact Information

Primary practice address
2580 E Main St Suite 200 Ventura CA 93003-2646
Phone: (805) 653-0088
Fax: (805) 653-6748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G63711 California
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X G63711 California

Profile Details

NPI number 1083708440
LBN Legal business name Tice, Timothy V.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated May 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083708440 NPPES
Other 77-0566664 FEIN

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