Mayhew, Timothy David
Mayhew, Timothy David is an individual health care provider with primary practice located at Us Hwy 491 N , Shiprock NM 87420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mayhew, Timothy David can be contacted via phone (505) 368-6020.Contact Information
Primary practice address
Us Hwy 491 N
Shiprock NM 87420
Phone: (505) 368-6020
Fax: (505) 368-6431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25931 | North Carolina |
Profile Details
| NPI number | 1750372355 |
|---|---|
| LBN Legal business name | Mayhew, Timothy David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 13th, 2026 - about 4 months 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 | 1750372355 | NPPES |
| Colorado | MEDICAID | 04386370 | |
| Colorado | MEDICAID | Q9966 | |
| Colorado | MEDICAID | 429060 |
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