Johnson, Timothy Van
Johnson, Timothy Van is an individual health care provider with primary practice located at 535 Jack Warner Pkwy Ne Suite B-1, Tuscaloosa AL 35404-5751. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Johnson, Timothy Van can be contacted via phone (205) 556-2121.Contact Information
Primary practice address
535 Jack Warner Pkwy Ne Suite B-1
Tuscaloosa AL 35404-5751
Phone: (205) 556-2121
Fax: (205) 554-0152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD33294 | Alabama |
Profile Details
| NPI number | 1386965622 |
|---|---|
| LBN Legal business name | Johnson, Timothy Van |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2010 |
| Last updated | Jun 22nd, 2020 - about 5 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 | 1386965622 | NPPES |
| Alabama | MEDICAID | 529202430 |
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