Entzeroth, Timothy Richard

Entzeroth, Timothy Richard is an sole proprietor health care provider with primary practice located at 2811 Tieton Dr , Yakima WA 98902-3761. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Entzeroth, Timothy Richard can be contacted via phone (509) 575-8000.

Contact Information

Primary practice address
2811 Tieton Dr Yakima WA 98902-3761
Phone: (509) 575-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 133972 Missouri

Profile Details

NPI number 1356912257
LBN Legal business name Entzeroth, Timothy Richard
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2021
Last updated Jul 2nd, 2021 - about 5 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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