Yrastorza, Timothy J
Yrastorza, Timothy J is an individual health care provider with primary practice located at 4740 A St Suite 100, Lincoln NE 68510-4824. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Yrastorza, Timothy J can be contacted via phone (402) 483-7825.Contact Information
Primary practice address
4740 A St Suite 100
Lincoln NE 68510-4824
Phone: (402) 483-7825
Fax: (402) 483-7839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 966 | Nebraska |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1213 | Nebraska |
Profile Details
| NPI number | 1609851005 |
|---|---|
| LBN Legal business name | Yrastorza, Timothy J |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Feb 14th, 2012 - about 12 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 | 1609851005 | NPPES |
| Nebraska | MEDICAID | 47059807113 |
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