Ashley, Timothy Dale

Ashley, Timothy Dale is an individual health care provider with primary practice located at 727 Cox Creek Pkwy , Florence AL 35630-1001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ashley, Timothy Dale can be contacted via phone (256) 764-9613.

Contact Information

Primary practice address
727 Cox Creek Pkwy Florence AL 35630-1001
Fax: (256) 764-8474
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14636 Alabama

Profile Details

NPI number 1962461574
LBN Legal business name Ashley, Timothy Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jan 18th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962461574 NPPES
Alabama MEDICAID 000078370

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