Estes, Timothy Duncan

Estes, Timothy Duncan is an individual health care provider with primary practice located at 2860 Mcdowell Road Ext , Jackson MS 39204-4238. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Estes, Timothy Duncan can be contacted via phone (601) 372-1117.

Contact Information

Primary practice address
2860 Mcdowell Road Ext Jackson MS 39204-4238
Phone: (601) 372-1117
Fax: (601) 373-3004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 09740 Mississippi

Profile Details

NPI number 1285746511
LBN Legal business name Estes, Timothy Duncan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Apr 6th, 2011 - about 14 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 1285746511 NPPES
Mississippi MEDICAID 00017048
Mississippi Other 110065028

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