Tim Bombard is a Family in Manchester, Connecticut. Tim Bombard practices all healthcare services and medical treatments related to Family. The NPI Number for Tim Bombard is 1669470993. The last update date is 2023-10-18.
Tim Bombard's current location address is 843 Main St # 15, Manchester, Connecticut. You can contact this provider via phone number 8606483001 and fax number 8606483003. The mailing address for Tim Bombard is 843 Main St # 15, Manchester, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tim Bombard |
|---|---|
| Address | 843 Main St # 15, Manchester, Connecticut |
| Phone Number | 8606483001 |
| Fax Number | 8606483003 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1669470993 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2023-10-18 |
Provider Mailing Address Detail
| Address | 843 Main St # 15 |
|---|---|
| City | Manchester |
| State | Connecticut (CT) |
| Post Code | 604060200 |
| Phone Number | 8606483001 |
| Fax Number | 8606483003 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 2775 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique 10-digit identifier code issued to Tim Bombard by the Centers for Medicare & Medicaid Services?
The Tim Bombard has been assigned the NPI (National Provider Identifier) 1669470993 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Tim Bombard's facilities are situated?
The facilities of Tim Bombard are physically located at the following address: 843 Main St # 15, Manchester, CT, 604060200.
What is Tim Bombard's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tim Bombard's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1669470993 to Tim Bombard?
The Centers for Medicare & Medicaid Services assigned the 1669470993 to Tim Bombard on 2005-07-11.
As of what date were the details pertaining to Tim Bombard last refreshed?
The information related to the Tim Bombard, including its address, specialty, and other relevant details, was last updated on 2023-10-18.
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