Timm, Brian Glenn

Timm, Brian Glenn is an individual health care provider with primary practice located at 161 Riverside Dr Suite M08, Binghamton NY 13905-4176. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Timm, Brian Glenn can be contacted via phone (607) 723-7454.

Contact Information

Primary practice address
161 Riverside Dr Suite M08 Binghamton NY 13905-4176
Phone: (607) 723-7454
Fax: (607) 723-1567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X AN006710 New York

Profile Details

NPI number 1457597106
LBN Legal business name Timm, Brian Glenn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2008
Last updated Mar 19th, 2021 - about 5 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 1457597106 NPPES
Florida MEDICAID 3608100

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