Hooper, Timothy D

Hooper, Timothy D is an sole proprietor health care provider with primary practice located at 13951 Mono Way Ste A, Sonora CA 95370-4856. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Hooper, Timothy D can be contacted via phone (209) 532-3370.

Contact Information

Primary practice address
13951 Mono Way Ste A Sonora CA 95370-4856
Phone: (209) 532-3370
Fax: (209) 532-3340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G55188 California
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X G55188 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X G55188 California
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X G55188 California

Profile Details

NPI number 1629097399
LBN Legal business name Hooper, Timothy D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Apr 6th, 2011 - about 15 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 1629097399 NPPES
California MEDICAID ZZZ20686Z

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