Dillingham, Timothy R

Dillingham, Timothy R is an individual health care provider with primary practice located at 3400 Spruce Street 1 Ground White Building, Philadelphia PA 19104-4206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Dillingham, Timothy R can be contacted via phone (215) 662-3261.

Contact Information

Primary practice address
3400 Spruce Street 1 Ground White Building Philadelphia PA 19104-4206
Phone: (215) 662-3261
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 45568 Wisconsin
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD444452 Pennsylvania

Profile Details

NPI number 1821049909
LBN Legal business name Dillingham, Timothy R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Dec 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821049909 NPPES
Other 004806261N HUMANA
MEDICAID 34362900 HUMANA

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