Doctor Name: | MR. TIMOTHY NOBLE HARKINS |
NPI Number: | 1417371949 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ATC |
License Number: | 2000014629 |
Business Practice Address: | 1220 Harbor Bay Pkwy Alameda, CA - 945026501 |
Business Phone Number: | 5108645000 |
Business Fax Number: | |
Mailing Address: | 2819 Sea View Pkwy, ALAMEDA |
State: | CA |
Postal Code: | 945026400 |
Phone Number: | 5103052991 |
Fax Number: | |
NPI Enumeration Date: | 02/04/2014 |
NPI Last Update Date: | 02/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 2000014629 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |