Fabian, Timothy C

Fabian, Timothy C is an individual health care provider with primary practice located at 877 Jefferson Ave , Memphis TN 38103-2807. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Fabian, Timothy C can be contacted via phone (901) 545-7857.

Contact Information

Primary practice address
877 Jefferson Ave Memphis TN 38103-2807
Fax: (901) 448-7306
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 12911 Tennessee
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 12911 Tennessee

Profile Details

NPI number 1932165198
LBN Legal business name Fabian, Timothy C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Oct 20th, 2016 - about 8 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 1932165198 NPPES
Tennessee MEDICAID 3182228

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