Stidham, Timothy

Stidham, Timothy is an individual health care provider with primary practice located at 13123 E 16Th Ave , Aurora CO 80045-7106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Stidham, Timothy can be contacted via phone (720) 777-1234.

Contact Information

Primary practice address
13123 E 16Th Ave Aurora CO 80045-7106
Phone: (720) 777-1234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 59214 Montana
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD2019-0698 New Mexico
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 48502 Colorado
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 48502 Colorado

Profile Details

NPI number 1548460504
LBN Legal business name Stidham, Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated Mar 4th, 2024 - about last year

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 1548460504 NPPES
Colorado MEDICAID 43622771

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