Timothy, Alvin Michael
Timothy, Alvin Michael is an individual health care provider with primary practice located at 1320 Martin Luther King Dr , Thibodaux LA 70301-4886. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Timothy, Alvin Michael can be contacted via phone (985) 446-2021.Contact Information
Primary practice address
1320 Martin Luther King Dr
Thibodaux LA 70301-4886
Phone: (985) 446-2021
Fax: (985) 447-1546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 203140 | Louisiana |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 203140 | Louisiana |
Profile Details
| NPI number | 1164509048 |
|---|---|
| LBN Legal business name | Timothy, Alvin Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Oct 19th, 2015 - about 11 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 | 1164509048 | NPPES |
| Louisiana | MEDICAID | 1800252 |
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