Tims, Cory T

Tims, Cory T is an sole proprietor health care provider with primary practice located at 2523 El Portal Dr , San Pablo CA 94806-3305. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Tims, Cory T can be contacted via phone (510) 439-3130.

Contact Information

Primary practice address
2523 El Portal Dr San Pablo CA 94806-3305
Phone: (510) 439-3130
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1548456940
LBN Legal business name Tims, Cory T
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2007
Last updated Sep 19th, 2007 - 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.

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