Crain, Timothy Wayne

Crain, Timothy Wayne is an individual health care provider with primary practice located at 126 Missouri Ave Glwach Attn Mcxp-Ccs-Cr, Fort Leonard Wood MO 65473-8952. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Crain, Timothy Wayne can be contacted via phone (573) 596-0417.

Contact Information

Primary practice address
126 Missouri Ave Glwach Attn Mcxp-Ccs-Cr Fort Leonard Wood MO 65473-8952
Phone: (573) 596-0417
Fax: (573) 596-0524
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 15980 Oklahoma

Profile Details

NPI number 1942291000
LBN Legal business name Crain, Timothy Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jul 8th, 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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