Weill, Timothy Clark

Weill, Timothy Clark is an individual health care provider with primary practice located at 2003 Kootenai Health Way , Coeur D Alene ID 83814-6051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Weill, Timothy Clark can be contacted via phone (208) 625-6900.

Contact Information

Primary practice address
2003 Kootenai Health Way Coeur D Alene ID 83814-6051
Phone: (208) 625-6900
Fax: (208) 625-6910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X M12442 Idaho

Profile Details

NPI number 1073669339
LBN Legal business name Weill, Timothy Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jan 18th, 2017 - about 7 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 1073669339 NPPES
Montana MEDICAID 0065739

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