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Contact Information

TIMOTHY W BROTHERTON, M,D,
125 EXECUTIVE DR
STE J
DANVILLE, VA24541-4155
 Phone: 434-793-0044
 Fax: 434-792-8864
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for TIMOTHY W BROTHERTON · (Male)

NPI Number 1013919398
Status Active
Credentials M,D,
Entity Individual
Enumeration date 06/01/2005
Last updated 05/19/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101046457
  • VA Medicaid 6060641
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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