Varallo, Timothy Michael

Varallo, Timothy Michael is an sole proprietor health care provider with primary practice located at 400 W 16Th St , Pueblo CO 81003-2745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Varallo, Timothy Michael can be contacted via phone (719) 584-4306.

Contact Information

Primary practice address
400 W 16Th St Pueblo CO 81003-2745
Phone: (719) 584-4306
Fax: (719) 595-7886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X TL853 Wyoming
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DR.0050082 Colorado

Profile Details

NPI number 1669434882
LBN Legal business name Varallo, Timothy Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2006
Last updated Aug 17th, 2016 - about 9 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 1669434882 NPPES
Colorado MEDICAID 59972777

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