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
Fax: (209) 381-1215
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740384163 NPPES
California MEDICAID ZZR11477F

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