Tims, Mark Raymond
Tims, Mark Raymond is an individual health care provider with primary practice located at 2501 Capehart Rd , Offutt Afb NE 68113-1043. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Tims, Mark Raymond can be contacted via phone (402) 294-1110.Contact Information
Primary practice address
2501 Capehart Rd
Offutt Afb NE 68113-1043
Phone: (402) 294-1110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 63010008189 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 008189 | Michigan |
Profile Details
| NPI number | 1255324877 |
|---|---|
| LBN Legal business name | Tims, Mark Raymond |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | May 27th, 2021 - about 5 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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