Ward, Michael Timothy
Ward, Michael Timothy is an sole proprietor health care provider with primary practice located at 1302 Deacon Dr , College Station TX 77845-6405. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ward, Michael Timothy can be contacted via phone (979) 739-3940.Contact Information
Primary practice address
1302 Deacon Dr
College Station TX 77845-6405
Phone: (979) 739-3940
Fax: (979) 484-7221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1130268 | Texas |
Profile Details
| NPI number | 1386704187 |
|---|---|
| LBN Legal business name | Ward, Michael Timothy |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jul 29th, 2014 - about 10 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 | 1386704187 | NPPES |
| Texas | Other | 86496T | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 149305801 | BLUE CROSS BLUE SHIELD |
| Texas | Other | 1093121824 | BLUE CROSS BLUE SHIELD |
| Texas | Other | 1386404187 | BLUE CROSS BLUE SHIELD |
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