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Contact Information

TIMOTHY J SLOAN MD, A PROFESSIONAL CORPORATION
1800 N CALIFORNIA ST
STOCKTON, CA95204
 Phone: 209-943-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TIMOTHY J SLOAN MD, A PROFESSIONAL CORPORATION

NPI Number 1104897362
LBN Legal business name TIMOTHY J SLOAN MD, A PROFESSIONAL CORPORATION
Authorized official TIMOTHY SLOAN - (MD)
Entity Organization
Organization subpart 1 No
Enumeration date 01/27/2006
Last updated 08/04/2008 - About 18 years ago
Identifiers
CA License # G35657
CA Medicaid 00G356570
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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