Church, Timothy S.

Church, Timothy S. is an individual health care provider with primary practice located at 6400 Perkins Rd , Baton Rouge LA 70808-4124. He recently has only one registered license in Other Service Providers / Research Study, which is considered as his primary health care specialty. Church, Timothy S. can be contacted via phone (225) 763-2632.

Contact Information

Primary practice address
6400 Perkins Rd Baton Rouge LA 70808-4124
Phone: (225) 763-2632
Fax: (225) 763-3014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Research Study 1744R1102X MD.12793R Louisiana

Profile Details

NPI number 1770720955
LBN Legal business name Church, Timothy S.
Credentials MD, MPH, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2009
Last updated Jan 9th, 2009 - about 15 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 1770720955 NPPES
Louisiana Other 33934 LA BOARD OF PHARMACY
Louisiana Other BC6148503 LA BOARD OF PHARMACY

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