Welton, Timothy Hershel
Welton, Timothy Hershel is an individual health care provider with primary practice located at 303 W Lincoln Ave Ste 120, Anaheim CA 92805-2936. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Welton, Timothy Hershel can be contacted via phone (714) 535-8404.Contact Information
Primary practice address
303 W Lincoln Ave Ste 120
Anaheim CA 92805-2936
Phone: (714) 535-8404
Fax: (714) 687-9848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10177 TPL | California |
Profile Details
| NPI number | 1679560767 |
|---|---|
| LBN Legal business name | Welton, Timothy Hershel |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679560767 | NPPES |
| California | MEDICAID | SD0101770 |
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