Timothy James Mullally in Crown Point - Sports Medicine
Timothy James Mullally - NPI 1366462046
Timothy James Mullally is a Sports Medicine in Crown Point, Indiana. Timothy James Mullally practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Timothy James Mullally is 1366462046. The last update date is 2019-03-25.
Timothy James Mullally's current location address is Po Box 108, Crown Point, Indiana. You can contact this provider via phone number 2197798735 and fax number 8777152312. The mailing address for Timothy James Mullally is Po Box 108, Crown Point, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy James Mullally |
|---|---|
| Address | Po Box 108, Crown Point, Indiana |
| Phone Number | 2197798735 |
| Fax Number | 8777152312 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1366462046 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2019-03-25 |
Provider Mailing Address Detail
| Address | Po Box 108 |
|---|---|
| City | Crown Point |
| State | Indiana (IN) |
| Post Code | 463080108 |
| Phone Number | 2197798735 |
| Fax Number | 8777152312 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 02003099A |
|
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200829740 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Timothy James Mullally by the Centers for Medicare & Medicaid Services?
The Timothy James Mullally has been issued the NPI (National Provider Identifier) 1366462046, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Timothy James Mullally?
The Timothy James Mullally is situated at Po Box 108, in the city of Crown Point, state of IN, with the zip code 463080108.
What is the Timothy James Mullally's area of specialization and corresponding taxonomy classification?
The Timothy James Mullally's specialty field is Sports Medicine, and it falls under the taxonomy code 207Qs0010X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1366462046 to Timothy James Mullally?
The Timothy James Mullally received its 1366462046 assignment from the Centers for Medicare & Medicaid Services on 2006-07-19.
As of what date were the details related to Timothy James Mullally most recently updated or revised?
The information pertaining to Timothy James Mullally, including its address, specialty, and other relevant details, was last updated or revised on 2019-03-25.