Freyaldenhoven, Timothy E

Freyaldenhoven, Timothy E is an sole proprietor health care provider with primary practice located at 2200 Ada Ave Ste 302 , Conway AR 72034-4985. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Freyaldenhoven, Timothy E can be contacted via phone (501) 932-0352.

Contact Information

Primary practice address
2200 Ada Ave Ste 302 Conway AR 72034-4985
Phone: (501) 932-0352
Fax: (501) 932-0354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X E-3108 Arkansas

Profile Details

NPI number 1174520258
LBN Legal business name Freyaldenhoven, Timothy E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2005
Last updated Mar 20th, 2023 - about 2 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 1174520258 NPPES
Arkansas MEDICAID 146351001
Arkansas Other 130025088

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