Bancroft, Timothy David

Bancroft, Timothy David is an individual health care provider with primary practice located at 3811 Valley Centre Dr Mail Drop S99, San Diego CA 92130-3318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bancroft, Timothy David can be contacted via phone (858) 764-3000.

Contact Information

Primary practice address
3811 Valley Centre Dr Mail Drop S99 San Diego CA 92130-3318
Phone: (858) 764-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1879101205 Utah

Profile Details

NPI number 1649219395
LBN Legal business name Bancroft, Timothy David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 19th, 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 1649219395 NPPES
Utah MEDICAID 942854057090

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