Fleenor, Timothy Todd

Fleenor, Timothy Todd is an individual health care provider with primary practice located at 619 19Th St S , Birmingham AL 35249-1900. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Fleenor, Timothy Todd can be contacted via phone (205) 934-5004.

Contact Information

Primary practice address
619 19Th St S Birmingham AL 35249-1900
Phone: (205) 934-5004
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD.34510 Alabama
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD.34510 Alabama

Profile Details

NPI number 1013275486
LBN Legal business name Fleenor, Timothy Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2012
Last updated Dec 28th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013275486 NPPES
Alabama MEDICAID 173688
Alabama Other 511-63239
Alabama Other 511-63240
Alabama MEDICAID 173986

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