Collins, Timothy James
Collins, Timothy James is an sole proprietor health care provider with primary practice located at 305 Grady Rd Suite B, Etowah TN 37331-1903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Collins, Timothy James can be contacted via phone (423) 263-0722.Contact Information
Primary practice address
305 Grady Rd Suite B
Etowah TN 37331-1903
Phone: (423) 263-0722
Fax: (423) 263-5232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 30261 | Tennessee |
Profile Details
| NPI number | 1235126392 |
|---|---|
| LBN Legal business name | Collins, Timothy James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1235126392 | NPPES |
| Tennessee | MEDICAID | 3824140 |
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