Davis, Timothy Wayne

Davis, Timothy Wayne is an sole proprietor health care provider with primary practice located at 283 W Broadway Blvd , Jefferson City TN 37760-2302. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Davis, Timothy Wayne can be contacted via phone (865) 475-8037.

Contact Information

Primary practice address
283 W Broadway Blvd Jefferson City TN 37760-2302
Phone: (865) 475-8037
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4142 Tennessee

Profile Details

NPI number 1104896745
LBN Legal business name Davis, Timothy Wayne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2006
Last updated May 19th, 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.

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