Brown, Timothy Roland
Brown, Timothy Roland is an sole proprietor health care provider with primary practice located at 1335 Phay Ave Ste D , Canon City CO 81212-2349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brown, Timothy Roland can be contacted via phone (719) 275-4061.Contact Information
Primary practice address
1335 Phay Ave Ste D
Canon City CO 81212-2349
Phone: (719) 275-4061
Fax: (719) 275-4058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 28896 | Colorado |
Profile Details
| NPI number | 1881633816 |
|---|---|
| LBN Legal business name | Brown, Timothy Roland |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2006 |
| Last updated | May 20th, 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 | 1881633816 | NPPES |
| Colorado | MEDICAID | 06575749 |
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