Baltz, Timothy S

Baltz, Timothy S is an individual health care provider with primary practice located at 1017 Medical Center Pkwy , Selma AL 36701-6780. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Baltz, Timothy S can be contacted via phone (334) 875-2100.

Contact Information

Primary practice address
1017 Medical Center Pkwy Selma AL 36701-6780
Phone: (334) 875-2100
Fax: (334) 418-6540
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 00011490 Alabama

Profile Details

NPI number 1164466058
LBN Legal business name Baltz, Timothy S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jan 30th, 2012 - about 12 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 1164466058 NPPES
Alabama MEDICAID 332100111
Alabama Other 51017797
Alabama MEDICAID 332134111

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