Scanlan, Timothy M

Scanlan, Timothy M is an sole proprietor health care provider with primary practice located at 4767 Dahlia Way N , Hugo MN 55038-6060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Scanlan, Timothy M can be contacted via phone (651) 493-4856.

Contact Information

Primary practice address
4767 Dahlia Way N Hugo MN 55038-6060
Phone: (651) 493-4856
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 17663 Kansas
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 20245 Minnesota

Profile Details

NPI number 1528054301
LBN Legal business name Scanlan, Timothy M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2005
Last updated Nov 27th, 2012 - about 13 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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