O'Donnell, Timothy
O'Donnell, Timothy is an sole proprietor health care provider with primary practice located at 63 Beaverbrook Rd Ste 301 , Lincoln Park NJ 07035-1440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. O'Donnell, Timothy can be contacted via phone (973) 694-1300.Contact Information
Primary practice address
63 Beaverbrook Rd Ste 301
Lincoln Park NJ 07035-1440
Phone: (973) 694-1300
Fax: (973) 694-1399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25MB04853800 | New Jersey |
Profile Details
| NPI number | 1841239050 |
|---|---|
| LBN Legal business name | O'Donnell, Timothy |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Apr 16th, 2008 - about 18 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 | 1841239050 | NPPES |
| New Jersey | MEDICAID | 538110 |
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