Deming, Timothy A

Deming, Timothy A is an individual health care provider with primary practice located at 1401 E State St , Rockford IL 61104-2315. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Deming, Timothy A can be contacted via phone (414) 290-6720.

Contact Information

Primary practice address
1401 E State St Rockford IL 61104-2315
Phone: (414) 290-6720
Fax: (414) 290-6755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209008913 Illinois

Profile Details

NPI number 1023397064
LBN Legal business name Deming, Timothy A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2011
Last updated Aug 9th, 2011 - 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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