Alder, Timothy Leslie

Alder, Timothy Leslie is an individual health care provider with primary practice located at 2001 Laurel Ave Suite N304, Knoxville TN 37916-1810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Alder, Timothy Leslie can be contacted via phone (865) 766-6870.

Contact Information

Primary practice address
2001 Laurel Ave Suite N304 Knoxville TN 37916-1810
Phone: (865) 766-6870
Fax: (865) 766-0133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 13394C Wyoming
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 33293 Nebraska
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X CDRH.0063132 Colorado
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 43586 Tennessee

Profile Details

NPI number 1922207059
LBN Legal business name Alder, Timothy Leslie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated Apr 5th, 2021 - about 3 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 1922207059 NPPES
Tennessee MEDICAID 1514656

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