Dersch, Timothy Lee
Dersch, Timothy Lee is an individual health care provider with primary practice located at 340 Medical Pkwy Ste 200, Greer SC 29650-2441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dersch, Timothy Lee can be contacted via phone (864) 797-9400.Contact Information
Primary practice address
340 Medical Pkwy Ste 200
Greer SC 29650-2441
Phone: (864) 797-9400
Fax: (864) 797-9402
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 31261 | South Carolina |
Profile Details
NPI number | 1366415523 |
---|---|
LBN Legal business name | Dersch, Timothy Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 8th, 2006 |
Last updated | Jan 26th, 2018 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366415523 | NPPES |
South Carolina | MEDICAID | 312619 | |
South Carolina | Other | P00656863 |
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