Deffer, Timothy A.

Deffer, Timothy A. is an individual health care provider with primary practice located at 3231 S National Ave , Springfield MO 65807-7304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Deffer, Timothy A. can be contacted via phone (417) 885-0803.

Contact Information

Primary practice address
3231 S National Ave Springfield MO 65807-7304
Phone: (417) 885-0803
Fax: (417) 841-0110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2001013325 Missouri

Profile Details

NPI number 1851478283
LBN Legal business name Deffer, Timothy A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated May 3rd, 2013 - about 13 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 1851478283 NPPES
Missouri MEDICAID 205332109
Missouri MEDICAID 145785001

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