Henry, Timothy J

Henry, Timothy J is an sole proprietor health care provider with primary practice located at 7274 Rhea County Hwy , Dayton TN 37321-6205. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Henry, Timothy J can be contacted via phone (423) 775-0192.

Contact Information

Primary practice address
7274 Rhea County Hwy Dayton TN 37321-6205
Fax: (423) 775-5538
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC0000000448 Tennessee

Profile Details

NPI number 1134122013
LBN Legal business name Henry, Timothy J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Sep 27th, 2016 - about 8 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 1134122013 NPPES
Tennessee Other 000056270 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 1508239 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 36737261 BLUE CROSS BLUE SHIELD

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