York, Timothy Joseph

York, Timothy Joseph is an sole proprietor health care provider with primary practice located at 411 W Riverside St , Covington VA 24426-1273. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. York, Timothy Joseph can be contacted via phone (540) 960-2111.

Contact Information

Primary practice address
411 W Riverside St Covington VA 24426-1273
Fax: (540) 960-2117
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1878 West Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0102203160 Virginia

Profile Details

NPI number 1811961154
LBN Legal business name York, Timothy Joseph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2006
Last updated Jul 10th, 2013 - about 11 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 1811961154 NPPES
Virginia Other 1811961154 ANTHEM BCBS
Virginia MEDICAID 1811961154 ANTHEM BCBS
Virginia MEDICAID 3810002348 ANTHEM BCBS
Virginia Other 1811961154 ANTHEM BCBS

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