Bouck, Timothy
Bouck, Timothy is an individual health care provider with primary practice located at 1840 Amherst St , Winchester VA 22601-2808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Bouck, Timothy can be contacted via phone (540) 536-7087.Contact Information
Primary practice address
1840 Amherst St
Winchester VA 22601-2808
Phone: (540) 536-7087
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 0101248936 | Virginia |
Profile Details
| NPI number | 1669586152 |
|---|---|
| LBN Legal business name | Bouck, Timothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Mar 29th, 2021 - about 5 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 | 1669586152 | NPPES |
| Virginia | MEDICAID | 1669586152 | |
| Virginia | MEDICAID | 3810019813 |
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