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Contact Information

TIM WHITWORTH, LMP
7105 WEST HOOD PLACE
SUITE 103
KENNEWICK, WA99336
 Phone: 509-374-4719
 Fax: 509-374-3873
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for TIM WHITWORTH · (Male)

NPI Number 1588758924
Status Active
Credentials LMP (Licensed Medical Practitioner)
Entity Individual
Enumeration date 10/02/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MA00021695
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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