Tolan, Timothy Matthew

Tolan, Timothy Matthew is an sole proprietor health care provider with primary practice located at 3195 Saint Rose Pkwy Suite 210, Henderson NV 89052-3501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Tolan, Timothy Matthew can be contacted via phone (702) 792-6700.

Contact Information

Primary practice address
3195 Saint Rose Pkwy Suite 210 Henderson NV 89052-3501
Phone: (702) 792-6700
Fax: (702) 792-7198
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 8892 Nevada

Profile Details

NPI number 1053378661
LBN Legal business name Tolan, Timothy Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2006
Last updated Aug 28th, 2012 - about 14 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 1053378661 NPPES
Nevada MEDICAID 2018160

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