Fuller, Timothy Louis

Fuller, Timothy Louis is an individual health care provider with primary practice located at 428 East Vann Road , Greeneville TN 37743-7202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fuller, Timothy Louis can be contacted via phone (423) 278-1950.

Contact Information

Primary practice address
428 East Vann Road Greeneville TN 37743-7202
Phone: (423) 278-1950
Fax: (423) 278-1973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1343 Tennessee

Profile Details

NPI number 1497822845
LBN Legal business name Fuller, Timothy Louis
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Feb 3rd, 2014 - about 11 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 1497822845 NPPES
Tennessee Other 4121421 BCBST
Tennessee Other TN01Q1 BCBST

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