Frazier, Timothy C.
Frazier, Timothy C. is an individual health care provider with primary practice located at 2121 Highland Ave , Knoxville TN 37916-1111. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Allergy is his primary health care specialty. Frazier, Timothy C. can be contacted via phone (865) 525-2640.Contact Information
Primary practice address
2121 Highland Ave
Knoxville TN 37916-1111
Phone: (865) 525-2640
Fax: (865) 525-9536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 4080 | Tennessee |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 231750 | Tennessee |
Profile Details
| NPI number | 1578657334 |
|---|---|
| LBN Legal business name | Frazier, Timothy C. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1578657334 | NPPES |
| Tennessee | MEDICAID | 3085235 | |
| Tennessee | Other | 3028772 |
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