Fengler, Timothy R

Fengler, Timothy R is an individual health care provider with primary practice located at 2435 Forest Dr , Columbia SC 29204-2026. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Fengler, Timothy R can be contacted via phone (803) 865-4780.

Contact Information

Primary practice address
2435 Forest Dr Columbia SC 29204-2026
Phone: (803) 865-4780
Fax: (803) 865-4932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 14325 South Carolina
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 14325 South Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 14325 South Carolina

Profile Details

NPI number 1326138611
LBN Legal business name Fengler, Timothy R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2006
Last updated Sep 17th, 2014 - about 10 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 1326138611 NPPES
South Carolina Other 143295 SELECT HEALTH
South Carolina Other 050028870 SELECT HEALTH
South Carolina MEDICAID 143295 SELECT HEALTH
South Carolina Other 2001059 SELECT HEALTH
South Carolina Other 4130017 SELECT HEALTH
South Carolina Other 77791 SELECT HEALTH

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