Govaerts, Timothy C
Govaerts, Timothy C is an individual health care provider with primary practice located at 1760 Prairie Ave Ste 100 , Cheyenne WY 82009-4833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Govaerts, Timothy C can be contacted via phone (307) 263-4022.Contact Information
Primary practice address
1760 Prairie Ave Ste 100
Cheyenne WY 82009-4833
Phone: (307) 263-4022
Fax: (307) 263-4023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | DR.0052036 | Colorado |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 12924A | Wyoming |
Profile Details
| NPI number | 1780633610 |
|---|---|
| LBN Legal business name | Govaerts, Timothy C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Nov 11th, 2022 - about 3 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 | 1780633610 | NPPES |
| Nebraska | MEDICAID | 91175934813 |
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