Woodville, Timothy J

Woodville, Timothy J is an individual health care provider with primary practice located at 591 E 10Th Ave , Chico CA 95926-2353. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Woodville, Timothy J can be contacted via phone (530) 898-1951.

Contact Information

Primary practice address
591 E 10Th Ave Chico CA 95926-2353
Phone: (530) 898-1951
Fax: (530) 898-9025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1982608774
LBN Legal business name Woodville, Timothy J
Credentials CPO
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Nov 18th, 2008 - about 18 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 1982608774 NPPES
California MEDICAID GXC000780

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