Shride, Tim

Shride, Tim is an individual health care provider with primary practice located at 3800 Watt Ave Ste 151 , Sacramento CA 95821-2688. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Shride, Tim can be contacted via phone (916) 482-1535.

Contact Information

Primary practice address
3800 Watt Ave Ste 151 Sacramento CA 95821-2688
Phone: (916) 482-1535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X

Profile Details

NPI number 1043833619
LBN Legal business name Shride, Tim
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2020
Last updated May 18th, 2020 - about 6 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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