Allen, Timothy Graham

Allen, Timothy Graham is an individual health care provider with primary practice located at 78 Ridgewood Dr , Bangor ME 04401-2652. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Allen, Timothy Graham can be contacted via phone (207) 307-8906.

Contact Information

Primary practice address
78 Ridgewood Dr Bangor ME 04401-2652
Phone: (207) 307-8906
Fax: (207) 307-8916
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X Q3138 Texas
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X Q3138 Texas
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X MD23422 Maine

Profile Details

NPI number 1871522490
LBN Legal business name Allen, Timothy Graham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 16th, 2021 - about 4 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 1871522490 NPPES
South Carolina MEDICAID T80686

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