Suorsa, Timothy Paul

Suorsa, Timothy Paul is an sole proprietor health care provider with primary practice located at 524 W Putnam Ave , Porterville CA 93257-3274. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Suorsa, Timothy Paul can be contacted via phone (559) 784-5127.

Contact Information

Primary practice address
524 W Putnam Ave Porterville CA 93257-3274
Phone: (559) 784-5127
Fax: (559) 784-4288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 10864T California

Profile Details

NPI number 1497824478
LBN Legal business name Suorsa, Timothy Paul
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated May 27th, 2009 - about 17 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 1497824478 NPPES
California Other 5664210001 MEDICARE NSC
California Other P00294171 MEDICARE NSC
California MEDICAID GSD004930 MEDICARE NSC

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