Pediatric & Adolescent Clinic

LBN: David Alan Timm
Pediatric & Adolescent Clinic is an health care organization with primary practice located at 1806 Carter St , Vidalia LA 71373-3115. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. David Alan Timm can be contacted via phone (318) 336-7172, or through Timm, David Alan via phone (601) 442-7676.

Contact Information

Primary practice address
1806 Carter St Vidalia LA 71373-3115
Phone: (318) 336-7172
Fax: (318) 336-7176
Website:
Map and Directions
Authorized official contact:
Name: Timm, David Alan Doctor of Medicine (MD)
Phone: (601) 442-7676

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 016299 Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD016299 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APO4933 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APO4870 Louisiana

Profile Details

NPI number 1710015318
LBN Legal business name David Alan Timm
DBA Doing business as Pediatric & Adolescent Clinic
Authorized official Timm, David Alan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated Dec 9th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710015318 NPPES
Louisiana MEDICAID 1021829

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