Bishop, Timothy Scot
Bishop, Timothy Scot is an individual health care provider with primary practice located at Corner Of Rt N12 & N7 Fort Defiance Indian Hospital, Fort Defiance AZ 86504. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bishop, Timothy Scot can be contacted via phone (928) 729-8892.Contact Information
Primary practice address
Corner Of Rt N12 & N7 Fort Defiance Indian Hospital
Fort Defiance AZ 86504
Phone: (928) 729-8892
Fax: (928) 729-8888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3832-015 | Wisconsin |
Profile Details
| NPI number | 1679659668 |
|---|---|
| LBN Legal business name | Bishop, Timothy Scot |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Jul 19th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679659668 | NPPES |
| New Mexico | MEDICAID | 88534 | |
| New Mexico | MEDICAID | 766660 |
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