Walbridge, Timothy Patrick
Walbridge, Timothy Patrick is an individual health care provider with primary practice located at 3834 S Emerson Ave Ste 100 , Indianapolis IN 46203-5901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Walbridge, Timothy Patrick can be contacted via phone (317) 782-1577.Contact Information
Primary practice address
3834 S Emerson Ave Ste 100
Indianapolis IN 46203-5901
Phone: (317) 782-1577
Fax: (888) 366-7577
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301088280 | Michigan |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A83728 | California |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 01064701A | Indiana |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01064701A | Indiana |
Profile Details
NPI number | 1386609071 |
---|---|
LBN Legal business name | Walbridge, Timothy Patrick |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 18th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1386609071 | NPPES |
Indiana | MEDICAID | 200898150 | |
Indiana | Other | 01064701A |
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