Izzo, Timothy J

Izzo, Timothy J is an individual health care provider with primary practice located at 1035 Charlevoix Dr Suite 100, Grand Ledge MI 48837-2223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Izzo, Timothy J can be contacted via phone (517) 627-2181.

Contact Information

Primary practice address
1035 Charlevoix Dr Suite 100 Grand Ledge MI 48837-2223
Phone: (517) 627-2181
Fax: (517) 622-1242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X TI011387 Michigan

Profile Details

NPI number 1720152846
LBN Legal business name Izzo, Timothy J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jan 30th, 2014 - about 12 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 1720152846 NPPES
Michigan Other 0852328574 BCBS INDIVIDUAL PIN
Michigan Other 080079681 BCBS INDIVIDUAL PIN
Michigan Other P85301 BCBS INDIVIDUAL PIN

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