Ford, Timothy C

Ford, Timothy C is an individual health care provider with primary practice located at 142 Chenoweth Ln , Louisville KY 40207-2651. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Ford, Timothy C can be contacted via phone (502) 897-1616.

Contact Information

Primary practice address
142 Chenoweth Ln Louisville KY 40207-2651
Phone: (502) 897-1616
Fax: (502) 897-7412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 00181 Kentucky

Profile Details

NPI number 1801849435
LBN Legal business name Ford, Timothy C
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Feb 23rd, 2011 - about 13 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 1801849435 NPPES
Kentucky Other 4530240001 DMERC REGION B
Kentucky MEDICAID 80001811 DMERC REGION B
Kentucky Other 000000233713 DMERC REGION B
Kentucky Other 480034122 DMERC REGION B

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