Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | F1-0000268 | DE |
NPI | 1598812067 |
---|---|
Provider Name | Timothy S. Palmer |
First Address | New Castle, DE 19720-3024 |
Second Address | New Castle, DE 19720-3024 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2007 |
Last Update Date | 15/01/2010 |