Hendricks, Timothy

Hendricks, Timothy is an individual health care provider with primary practice located at 2400 Russellville Rd Genesis East, Hopkinsville KY 42240-8095. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Hendricks, Timothy can be contacted via phone (270) 887-5697.

Contact Information

Primary practice address
2400 Russellville Rd Genesis East Hopkinsville KY 42240-8095
Phone: (270) 887-5697
Fax: (270) 887-5849
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1881229383
LBN Legal business name Hendricks, Timothy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2020
Last updated Mar 5th, 2020 - about 6 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.

Request for update

Popular Providers