Smith, Timothy William

Smith, Timothy William is an individual health care provider with primary practice located at 4921 Parkview Pl Div Im Cardiology, Ste 8B, Saint Louis MO 63110-1032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Smith, Timothy William can be contacted via phone (314) 362-1291.

Contact Information

Primary practice address
4921 Parkview Pl Div Im Cardiology, Ste 8B Saint Louis MO 63110-1032
Phone: (314) 362-1291
Fax: (314) 362-4278
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2001013819 Missouri
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 2001013819 Missouri

Profile Details

NPI number 1386662815
LBN Legal business name Smith, Timothy William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Apr 25th, 2024 - about 2 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 1386662815 NPPES
Missouri MEDICAID 205429301

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