Tanner, Timothy H

Tanner, Timothy H is an individual health care provider with primary practice located at 26 Cedar Ln , Danville VT 05828-9751. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Tanner, Timothy H can be contacted via phone (802) 684-2275.

Contact Information

Primary practice address
26 Cedar Ln Danville VT 05828-9751
Fax: (802) 684-3839
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0420008723 Vermont
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0420008723 Vermont

Profile Details

NPI number 1144284498
LBN Legal business name Tanner, Timothy H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jul 16th, 2010 - about 15 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 1144284498 NPPES
Vermont MEDICAID 0VN0612

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