Davis, Timothy Wayne
Davis, Timothy Wayne is an sole proprietor health care provider with primary practice located at 283 W Broadway Blvd , Jefferson City TN 37760-2302. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Davis, Timothy Wayne can be contacted via phone (865) 475-8037.Contact Information
Primary practice address
283 W Broadway Blvd
Jefferson City TN 37760-2302
Phone: (865) 475-8037
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4142 | Tennessee |
Profile Details
| NPI number | 1104896745 |
|---|---|
| LBN Legal business name | Davis, Timothy Wayne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2006 |
| Last updated | May 19th, 2009 - about 16 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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