Livermore, Timothy Allen
Livermore, Timothy Allen is an individual health care provider with primary practice located at 260 E 15Th St , Merced CA 95341-6216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Livermore, Timothy Allen can be contacted via phone (209) 381-1214.Contact Information
Primary practice address
260 E 15Th St
Merced CA 95341-6216
Phone: (209) 381-1214
Fax: (209) 381-1215
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | G40734 | California |
Profile Details
| NPI number | 1740384163 |
|---|---|
| LBN Legal business name | Livermore, Timothy Allen |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2006 |
| Last updated | Feb 22nd, 2012 - about 14 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 | 1740384163 | NPPES |
| California | MEDICAID | ZZR11477F |
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