Naill, Timothy

Naill, Timothy is an individual health care provider with primary practice located at 45Th Mdg 1381 South Patrick Drive, Patrick Afb FL 32925. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Naill, Timothy can be contacted via phone (321) 494-2184.

Contact Information

Primary practice address
45Th Mdg 1381 South Patrick Drive Patrick Afb FL 32925
Phone: (321) 494-2184
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149014753 Illinois

Profile Details

NPI number 1366702177
LBN Legal business name Naill, Timothy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2012
Last updated Jul 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366702177 NPPES
Illinois Other 149.014753 US AIR FORCE
Illinois Other 149.014735 US AIR FORCE

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