Adcock, Timothy Wells

Adcock, Timothy Wells is an individual health care provider with primary practice located at 651 Dunlop Ln , Clarksville TN 37040-5015. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Adcock, Timothy Wells can be contacted via phone (931) 551-1795.

Contact Information

Primary practice address
651 Dunlop Ln Clarksville TN 37040-5015
Phone: (931) 551-1795
Fax: (931) 551-1798
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 12441 Tennessee

Profile Details

NPI number 1588728554
LBN Legal business name Adcock, Timothy Wells
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Jun 4th, 2014 - about 10 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 1588728554 NPPES
Tennessee MEDICAID 3600771

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