Brotherton, Timothy Wayne

Brotherton, Timothy Wayne is an individual health care provider with primary practice located at 125 Executive Dr Ste J, Danville VA 24541-4155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Brotherton, Timothy Wayne can be contacted via phone (434) 793-0044.

Contact Information

Primary practice address
125 Executive Dr Ste J Danville VA 24541-4155
Phone: (434) 793-0044
Fax: (434) 792-8864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 0101046457 Virginia

Profile Details

NPI number 1013919398
LBN Legal business name Brotherton, Timothy Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated May 19th, 2010 - about 16 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 1013919398 NPPES
Virginia MEDICAID 6060641

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