Dennen, Timothy James

Dennen, Timothy James is an individual health care provider with primary practice located at 240 Mall Blvd , Bloomsburg PA 17815-8389. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dennen, Timothy James can be contacted via phone (570) 416-5435.

Contact Information

Primary practice address
240 Mall Blvd Bloomsburg PA 17815-8389
Phone: (570) 416-5435
Fax: (570) 416-5436
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD035289E Pennsylvania

Profile Details

NPI number 1225033772
LBN Legal business name Dennen, Timothy James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Mar 16th, 2022 - about 4 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 1225033772 NPPES
Pennsylvania MEDICAID 16250520007
Pennsylvania MEDICAID 1625052

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