Averion-Mahloch, Timothy James

Averion-Mahloch, Timothy James is an individual health care provider with primary practice located at 1221 S Broadway , Lexington KY 40504-2701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Averion-Mahloch, Timothy James can be contacted via phone (859) 258-4181.

Contact Information

Primary practice address
1221 S Broadway Lexington KY 40504-2701
Phone: (859) 258-4181
Fax: (859) 258-4058
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 39177 Kentucky

Profile Details

NPI number 1902832553
LBN Legal business name Averion-Mahloch, Timothy James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Nov 2nd, 2007 - about 17 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 1902832553 NPPES
Kentucky Other 4000501 MEDICARE LAB GROUP
Kentucky Other CB5773 MEDICARE LAB GROUP
Kentucky MEDICAID 64097926 MEDICARE LAB GROUP
Kentucky Other 37903705 MEDICARE LAB GROUP
Kentucky Other P00194694 MEDICARE LAB GROUP

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