Holsbeke, Timothy James

Holsbeke, Timothy James is an individual health care provider with primary practice located at 336 N Main St , West Hartford CT 06117-2510. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Holsbeke, Timothy James can be contacted via phone (860) 232-4891.

Contact Information

Primary practice address
336 N Main St West Hartford CT 06117-2510
Phone: (860) 232-4891
Fax: (860) 236-1016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000685 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 000685 Connecticut

Profile Details

NPI number 1477539906
LBN Legal business name Holsbeke, Timothy James
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Dec 19th, 2013 - about 13 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 1477539906 NPPES
Connecticut Other 1477539906 NPI

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