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
Fax: (931) 473-5031
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710920467 NPPES
Tennessee MEDICAID 3374306
Tennessee Other 51818

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