Courtney, Timothy Michael
Courtney, Timothy Michael is an individual health care provider with primary practice located at 221 N 2Nd Ave , Washington IA 52353-2203. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Courtney, Timothy Michael can be contacted via phone (319) 653-4558.Contact Information
Primary practice address
221 N 2Nd Ave
Washington IA 52353-2203
Phone: (319) 653-4558
Fax: (319) 653-2574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002403 | Iowa |
Profile Details
| NPI number | 1427256536 |
|---|---|
| LBN Legal business name | Courtney, Timothy Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2007 |
| Last updated | Jan 16th, 2008 - about 18 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 | 1427256536 | NPPES |
| Iowa | Other | 70380 | BLUE CROSS |
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