O'Brien, Timothy W

O'Brien, Timothy W is an individual health care provider with primary practice located at 240 S Main St , Wolfeboro NH 03894-4411. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. O'Brien, Timothy W can be contacted via phone (603) 515-2093.

Contact Information

Primary practice address
240 S Main St Wolfeboro NH 03894-4411
Phone: (603) 515-2093
Fax: (603) 515-2031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 454 New Hampshire

Profile Details

NPI number 1831210301
LBN Legal business name O'Brien, Timothy W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Apr 5th, 2021 - about 4 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 1831210301 NPPES
New Hampshire MEDICAID 3077612

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