Antley, Timothy

Antley, Timothy is an sole proprietor health care provider with primary practice located at 127 Bradley Dr , West Columbia SC 29170-2405. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Antley, Timothy can be contacted via phone (803) 230-4883.

Contact Information

Primary practice address
127 Bradley Dr West Columbia SC 29170-2405
Phone: (803) 230-4883
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1215305826
LBN Legal business name Antley, Timothy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2015
Last updated Sep 14th, 2015 - about 9 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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