Wyse, Timothy W

Wyse, Timothy W is an individual health care provider with primary practice located at 2222 N Nevada Ave , Colorado Springs CO 80907. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Wyse, Timothy W can be contacted via phone (719) 776-8040.

Contact Information

Primary practice address
2222 N Nevada Ave Colorado Springs CO 80907
Phone: (719) 776-8040
Fax: (719) 776-8050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30194 Colorado
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X DR.0030194 Colorado

Profile Details

NPI number 1861482804
LBN Legal business name Wyse, Timothy W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jul 9th, 2018 - about 8 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 1861482804 NPPES
Colorado MEDICAID 01301944

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