Damron, Timothy A

Damron, Timothy A is an individual health care provider with primary practice located at 2520 Valley Drive , Point Pleasant WV 25550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Damron, Timothy A can be contacted via phone (304) 675-1484.

Contact Information

Primary practice address
2520 Valley Drive Point Pleasant WV 25550
Fax: (304) 675-1496
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 15124 West Virginia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35.083882 Ohio

Profile Details

NPI number 1730129578
LBN Legal business name Damron, Timothy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jun 5th, 2020 - about 6 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 1730129578 NPPES
Kentucky Other 000000675429 ANTHEM BCBS
Kentucky Other P00803885 ANTHEM BCBS
Kentucky Other 0779439 ANTHEM BCBS
Kentucky MEDICAID 0779439 ANTHEM BCBS
Kentucky MEDICAID 64071400 ANTHEM BCBS
Kentucky Other 000000290591 ANTHEM BCBS
Kentucky MEDICAID 0073423000 ANTHEM BCBS
Kentucky Other 310917085220 ANTHEM BCBS

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