Active NPIIndividual provider

Timothy J Holsbeke, PA

Physician Assistant, Medical in West Hartford, Connecticut

NPI Number1477539906
Practice location
336 N Main St, West Hartford, CT 06117-2510
Fax
860-236-1016
Last updated
December 19, 2013

Timothy James Holsbeke is a Physician Assistant, Medical based in West Hartford, CT. Timothy James Holsbeke practices in West Hartford, CT and has the professional credentials of PA. The NPI Number for Timothy James Holsbeke is 1477539906 and holds a License No. 000685 (CT). The current practice location address for Timothy James Holsbeke is 336 N Main St, West Hartford, CT 06117-2510 and can be reached out via phone at 860-232-4891 and via fax at 860-236-1016.

Provider Profile Details

NPI Number
1477539906
Provider Name
Timothy James Holsbeke
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
336 N Main St, West Hartford, CT 06117-2510
Phone Number
860-232-4891
Fax Number
860-236-1016
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
December 16, 2005
Last Update Date
December 19, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
336 N Main St
West Hartford, CT 06117-2510
Zip
06117-2510
Phone Number
860-232-4891
Fax Number
860-236-1016
West Hartford, CT 06117Get directions →

Provider Business Mailing Address Details

Address
336 N Main St
West Hartford, CT 06117-2510
City
West Hartford
State
CT
Zip
06117-2510
Phone Number
860-232-4891
Fax Number
860-236-1016

License Information

License Number (1)
000685
License State (1)
CT
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
000685
License State (2)
CT
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Timothy J Holsbeke, PA?

The NPI number of Timothy J Holsbeke, PA is 1477539906. It was assigned on December 16, 2005 and is currently active in the NPPES registry.

What is the specialty of Timothy J Holsbeke, PA?

Timothy J Holsbeke, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 000685.

Where does Timothy J Holsbeke, PA practice?

The practice location is 336 N Main St, West Hartford, CT 06117-2510. The office can be reached at 860-232-4891 (phone) or 860-236-1016 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477539906 directly on the NPPES registry website.

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