Fisher, Timothy Mark
Fisher, Timothy Mark is an individual health care provider with primary practice located at 140 Vo Tech Dr Suite 6, Mc Minnville TN 37110-1329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Fisher, Timothy Mark can be contacted via phone (931) 473-4441.Contact Information
Primary practice address
140 Vo Tech Dr Suite 6
Mc Minnville TN 37110-1329
Phone: (931) 473-4441
Fax: (931) 473-5031
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | DO0000000851 | Tennessee |
Profile Details
NPI number | 1710920467 |
---|---|
LBN Legal business name | Fisher, Timothy Mark |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1710920467 | NPPES |
Tennessee | MEDICAID | 3374306 | |
Tennessee | Other | 51818 |
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