Timmons, Sally Ann
Timmons, Sally Ann is an individual health care provider with primary practice located at 120 Sagamore Pkwy W , West Lafayette IN 47906-1569. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Timmons, Sally Ann can be contacted via phone (765) 404-6431.Contact Information
Primary practice address
120 Sagamore Pkwy W
West Lafayette IN 47906-1569
Phone: (765) 404-6431
Fax: (765) 477-7843
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34004910A | Indiana |
Profile Details
| NPI number | 1114952397 |
|---|---|
| LBN Legal business name | Timmons, Sally Ann |
| Credentials | LCSW, RN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Nov 15th, 2007 - about 19 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 | 1114952397 | NPPES |
| Indiana | Other | 11491227 | CAQH |
| Indiana | Other | 000000375779 | CAQH |
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