Tobin, Timothy James

Tobin, Timothy James is an sole proprietor health care provider with primary practice located at 900 Cummings Ctr Suite 109U, Beverly MA 01915-6198. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Tobin, Timothy James can be contacted via phone (978) 927-1911.

Contact Information

Primary practice address
900 Cummings Ctr Suite 109U Beverly MA 01915-6198
Phone: (978) 927-1911
Fax: (978) 927-1811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1930 Massachusetts
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 1930 Massachusetts

Profile Details

NPI number 1760572234
LBN Legal business name Tobin, Timothy James
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Apr 7th, 2009 - 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 1760572234 NPPES
Massachusetts MEDICAID 0357928

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