Medcalf, Timothy W.
Medcalf, Timothy W. is an individual health care provider with primary practice located at 301 N Monte Vista St , Ada OK 74820-4607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Medcalf, Timothy W. can be contacted via phone (580) 364-5111.Contact Information
Primary practice address
301 N Monte Vista St
Ada OK 74820-4607
Phone: (580) 364-5111
Fax: (580) 279-1994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0431221 | Kansas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2004020021 | Missouri |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | E-1653 | Arizona |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | K4954 | Texas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 16129 | Oklahoma |
Profile Details
| NPI number | 1548221443 |
|---|---|
| LBN Legal business name | Medcalf, Timothy W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2006 |
| Last updated | Nov 18th, 2021 - about 5 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 | 1548221443 | NPPES |
| Oklahoma | Other | 200080110A | MEDICAID GROUP |
| Oklahoma | Other | 300522226 | MEDICAID GROUP |
| Oklahoma | MEDICAID | 100125290B | MEDICAID GROUP |
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