Newcomb, Timothy P

Newcomb, Timothy P is an individual health care provider with primary practice located at 3400 Dexter Ct Suite 101, Davenport IA 52807-3461. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Newcomb, Timothy P can be contacted via phone (563) 344-6600.

Contact Information

Primary practice address
3400 Dexter Ct Suite 101 Davenport IA 52807-3461
Phone: (563) 344-6600
Fax: (563) 344-6699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X D-094792 Iowa

Profile Details

NPI number 1548227382
LBN Legal business name Newcomb, Timothy P
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 8th, 2007 - about 19 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 1548227382 NPPES
Iowa Other IA0120 JOHN DEERE HEALTHPLAN
Iowa MEDICAID 0435800 JOHN DEERE HEALTHPLAN
Iowa Other 16166 JOHN DEERE HEALTHPLAN
Iowa Other P00232878 JOHN DEERE HEALTHPLAN

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