Averch, Timothy D

Averch, Timothy D is an individual health care provider with primary practice located at 1301 Taylor St Ste 1A , Columbia SC 29201-2946. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Averch, Timothy D can be contacted via phone (803) 434-4790.

Contact Information

Primary practice address
1301 Taylor St Ste 1A Columbia SC 29201-2946
Phone: (803) 434-4790
Fax: (803) 434-4799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 61218 South Carolina
Other Service Providers / Specialist 174400000X MD070342L Pennsylvania
Allopathic & Osteopathic Physicians / Urology 208800000X 61218 South Carolina

Profile Details

NPI number 1578535977
LBN Legal business name Averch, Timothy D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jun 2nd, 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 1578535977 NPPES
South Carolina MEDICAID 612180

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