Christopher Timmons
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Northfield, VT
NPI 1629573191 · NPPES record last updated Mar 27, 2018
Key facts
- NPI
- 1629573191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 2642 Stony Brook Rd
Northfield, VT 05663-6188 - Phone
- (802) 793-5109
- NPI assigned
- Mar 27, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | ||
| Athletic Trainer | 2255A2300X |
Addresses
Primary practice location
2642 Stony Brook Rd
Northfield, VT 05663-6188
Mailing address
2642 Stony Brook Rd
Northfield, VT 05663-6188
Other providers in Northfield, VT
- Matthew Dutton Sullivan
- Nancy Peters Sullivan
- Nicole Therrien
- Erika Thomas
- Charles Wayne Thompson III
- Town of Northfield
- Tammy Valadakis
- Samantha Walden
- Stephanie Wawrzyniak
- Kari Wentland
All providers in Northfield, VT · Student in an Organized Health Care Education/Training Program in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.