Mims, Timothy T

Mims, Timothy T is an individual health care provider with primary practice located at 2443 Sir Barton Way Ste 275 , Lexington KY 40509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Mims, Timothy T can be contacted via phone (812) 962-7890.

Contact Information

Primary practice address
2443 Sir Barton Way Ste 275 Lexington KY 40509
Phone: (812) 962-7890
Fax: (812) 476-6162
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 231723 New York
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 48908 Kentucky

Profile Details

NPI number 1083692982
LBN Legal business name Mims, Timothy T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Aug 10th, 2018 - about 8 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 1083692982 NPPES
New York MEDICAID 02566392
New York MEDICAID 7100428760

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