Wetherill, Timothy F

Wetherill, Timothy F is an individual health care provider with primary practice located at 1631 Hospital Dr Suite 240, Santa Fe NM 87505-4728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wetherill, Timothy F can be contacted via phone (505) 913-3975.

Contact Information

Primary practice address
1631 Hospital Dr Suite 240 Santa Fe NM 87505-4728
Phone: (505) 913-3975
Fax: (505) 986-8001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD2005-0088 New Mexico

Profile Details

NPI number 1912947920
LBN Legal business name Wetherill, Timothy F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Aug 12th, 2010 - about 15 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 1912947920 NPPES
Other 10020619 LOVELACE
MEDICAID 98708881 LOVELACE
Other 202007841 LOVELACE
Other 2523396 LOVELACE
Other NM001H25 LOVELACE
Other QMYPR0069821 LOVELACE

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