Daly, Timothy M

Daly, Timothy M is an individual health care provider with primary practice located at 2900 1St Ave , Huntington WV 25702-1241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Daly, Timothy M can be contacted via phone (304) 526-1436.

Contact Information

Primary practice address
2900 1St Ave Huntington WV 25702-1241
Phone: (304) 526-1436
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 17317 West Virginia

Profile Details

NPI number 1215981006
LBN Legal business name Daly, Timothy M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Nov 15th, 2012 - about 14 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 1215981006 NPPES
West Virginia MEDICAID 0044836000
West Virginia Other 3001165
West Virginia Other 001719572
West Virginia MEDICAID 2034935
West Virginia MEDICAID 64941990

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