Hennie, Timothy James
Hennie, Timothy James is an sole proprietor health care provider with primary practice located at 1910 Jake Alexander Blvd W Suite 101, Salisbury NC 28147-1163. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hennie, Timothy James can be contacted via phone (704) 633-2581.Contact Information
Primary practice address
1910 Jake Alexander Blvd W Suite 101
Salisbury NC 28147-1163
Phone: (704) 633-2581
Fax: (704) 633-2592
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 1071 | North Carolina |
Profile Details
NPI number | 1972561306 |
---|---|
LBN Legal business name | Hennie, Timothy James |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 3rd, 2006 |
Last updated | Feb 27th, 2013 - about 12 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 | 1972561306 | NPPES |
North Carolina | Other | 561430045 | SUPERIOR VISION PLAN |
North Carolina | Other | 2200141 | SUPERIOR VISION PLAN |
North Carolina | Other | 51812 | SUPERIOR VISION PLAN |
North Carolina | MEDICAID | 8909387 | SUPERIOR VISION PLAN |
North Carolina | Other | 110899 | SUPERIOR VISION PLAN |
North Carolina | Other | 09387 | SUPERIOR VISION PLAN |
North Carolina | Other | 10799 | SUPERIOR VISION PLAN |
North Carolina | Other | 48550 | SUPERIOR VISION PLAN |
North Carolina | Other | NC01071 | SUPERIOR VISION PLAN |
North Carolina | Other | 561430045 | SUPERIOR VISION PLAN |
North Carolina | Other | 561430045 | SUPERIOR VISION PLAN |
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