Ryan, Timothea A

Ryan, Timothea A is an individual health care provider with primary practice located at 546 S Broad St Suite 1D, Meriden CT 06450. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Ryan, Timothea A can be contacted via phone (203) 235-2511.

Contact Information

Primary practice address
546 S Broad St Suite 1D Meriden CT 06450
Fax: (203) 639-0809
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 046408 Connecticut

Profile Details

NPI number 1427170596
LBN Legal business name Ryan, Timothea A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Feb 4th, 2022 - 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 1427170596 NPPES
Connecticut MEDICAID 1427170596

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