Smith, Timothy James

Smith, Timothy James is an sole proprietor health care provider with primary practice located at 1911 Hazel Ave , Medford OR 97501-1630. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Smith, Timothy James can be contacted via phone (541) 774-3950.

Contact Information

Primary practice address
1911 Hazel Ave Medford OR 97501-1630
Phone: (541) 774-3950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1942504865
LBN Legal business name Smith, Timothy James
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2011
Last updated Jan 6th, 2011 - about 14 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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