Mcnicoll, Timothy J

Mcnicoll, Timothy J is an individual health care provider with primary practice located at 1180 Newfield Ave , Stamford CT 06905-1409. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Mcnicoll, Timothy J can be contacted via phone (314) 888-5233.

Contact Information

Primary practice address
1180 Newfield Ave Stamford CT 06905-1409
Phone: (314) 888-5233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G48100 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X G48100 California

Profile Details

NPI number 1790750115
LBN Legal business name Mcnicoll, Timothy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Jul 8th, 2024 - about 2 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 1790750115 NPPES
California MEDICAID 00G481000

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