Timell, Anna M.
Timell, Anna M. is an individual health care provider with primary practice located at 1302 S Main St , Waterbury CT 06706-1748. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Timell, Anna M. can be contacted via phone (203) 756-8021.Contact Information
Primary practice address
1302 S Main St
Waterbury CT 06706-1748
Phone: (203) 756-8021
Fax: (203) 596-9038
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 180857 | New York |
Profile Details
NPI number | 1013929769 |
---|---|
LBN Legal business name | Timell, Anna M. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 12th, 2006 |
Last updated | Jul 21st, 2022 - about 2 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 | 1013929769 | NPPES |
Connecticut | Other | 1013929769 | ANTHEM BCBS |
Connecticut | MEDICAID | 01093136 | ANTHEM BCBS |
Connecticut | MEDICAID | 003111408 | ANTHEM BCBS |
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