Church, Timothy S.
Church, Timothy S. is an individual health care provider with primary practice located at 6400 Perkins Rd , Baton Rouge LA 70808-4124. He recently has only one registered license in Other Service Providers / Research Study, which is considered as his primary health care specialty. Church, Timothy S. can be contacted via phone (225) 763-2632.Contact Information
Primary practice address
6400 Perkins Rd
Baton Rouge LA 70808-4124
Phone: (225) 763-2632
Fax: (225) 763-3014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Research Study | 1744R1102X | MD.12793R | Louisiana |
Profile Details
| NPI number | 1770720955 |
|---|---|
| LBN Legal business name | Church, Timothy S. |
| Credentials | MD, MPH, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2009 |
| Last updated | Jan 9th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770720955 | NPPES |
| Louisiana | Other | 33934 | LA BOARD OF PHARMACY |
| Louisiana | Other | BC6148503 | LA BOARD OF PHARMACY |
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