Collins, Timothy Ray

Collins, Timothy Ray is an sole proprietor health care provider with primary practice located at 254 W 7Th St , Cookeville TN 38501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Collins, Timothy Ray can be contacted via phone (931) 520-6270.

Contact Information

Primary practice address
254 W 7Th St Cookeville TN 38501
Fax: (931) 520-6286
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD24831 Tennessee

Profile Details

NPI number 1598735052
LBN Legal business name Collins, Timothy Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2006
Last updated Apr 21st, 2011 - about 13 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 1598735052 NPPES
Tennessee MEDICAID 3822886
Tennessee Other 44D0984314
Tennessee Other 3165325

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