Weaver, Timothy M

Weaver, Timothy M is an individual health care provider with primary practice located at 413 Sipapu Road Box 6952, Taos NM 87571. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Weaver, Timothy M can be contacted via phone (505) 758-5857.

Contact Information

Primary practice address
413 Sipapu Road Box 6952 Taos NM 87571
Fax: (505) 758-2832
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0088771 New Mexico

Profile Details

NPI number 1386698785
LBN Legal business name Weaver, Timothy M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jul 8th, 2007 - about 17 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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