Flaherty, Timothy Michael
Flaherty, Timothy Michael is an sole proprietor health care provider with primary practice located at 1881 E Madison Ave , Mankato MN 56001-6200. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Flaherty, Timothy Michael can be contacted via phone (507) 388-9805.Contact Information
Primary practice address
1881 E Madison Ave
Mankato MN 56001-6200
Phone: (507) 388-9805
Fax: (507) 388-9812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2486 | Minnesota |
Profile Details
| NPI number | 1477632057 |
|---|---|
| LBN Legal business name | Flaherty, Timothy Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | May 27th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477632057 | NPPES |
| Minnesota | Other | 1880048 | MAYO |
| Minnesota | Other | 22-00932 | MAYO |
| Minnesota | Other | 19979 | MAYO |
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