Wyse, Timothy W
Wyse, Timothy W is an individual health care provider with primary practice located at 2222 N Nevada Ave , Colorado Springs CO 80907. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Wyse, Timothy W can be contacted via phone (719) 776-8040.Contact Information
Primary practice address
2222 N Nevada Ave
Colorado Springs CO 80907
Phone: (719) 776-8040
Fax: (719) 776-8050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 30194 | Colorado |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | DR.0030194 | Colorado |
Profile Details
| NPI number | 1861482804 |
|---|---|
| LBN Legal business name | Wyse, Timothy W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Jul 9th, 2018 - about 6 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 | 1861482804 | NPPES |
| Colorado | MEDICAID | 01301944 |
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