Tomlinson, Timothy Gribbin

Tomlinson, Timothy Gribbin is an sole proprietor health care provider with primary practice located at 267 N Canyon Dr Ncmc Specialty Clinic, Gooding ID 83330-5500. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Tomlinson, Timothy Gribbin can be contacted via phone (208) 934-8829.

Contact Information

Primary practice address
267 N Canyon Dr Ncmc Specialty Clinic Gooding ID 83330-5500
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P134 Idaho

Profile Details

NPI number 1518018969
LBN Legal business name Tomlinson, Timothy Gribbin
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2007
Last updated Dec 26th, 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 1518018969 NPPES
Idaho MEDICAID 002858600

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