Van Ert, Timothy
Van Ert, Timothy is an individual health care provider with primary practice located at 115 Ne May Ln , Mcminnville OR 97128-9272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Van Ert, Timothy can be contacted via phone (503) 472-1338.Contact Information
Primary practice address
115 Ne May Ln
Mcminnville OR 97128-9272
Phone: (503) 472-1338
Fax: (503) 434-8597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 16355 MD | Oregon |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00031237 | Washington |
Profile Details
| NPI number | 1568574549 |
|---|---|
| LBN Legal business name | Van Ert, Timothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Feb 4th, 2022 - about 3 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 | 1568574549 | NPPES |
| Oregon | MEDICAID | 082250 |
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