Hensley, Timothy Ryan
Hensley, Timothy Ryan is an individual health care provider with primary practice located at 800 N A St , Easley SC 29640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hensley, Timothy Ryan can be contacted via phone (864) 855-0001.Contact Information
Primary practice address
800 N A St
Easley SC 29640
Phone: (864) 855-0001
Fax: (864) 855-5030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2017-02273 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 82077 | South Carolina |
Profile Details
| NPI number | 1649539818 |
|---|---|
| LBN Legal business name | Hensley, Timothy Ryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2012 |
| Last updated | May 7th, 2021 - about 3 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 | 1649539818 | NPPES |
| South Carolina | MEDICAID | 820776 | |
| South Carolina | Other | 19TJ8 | |
| South Carolina | MEDICAID | 1649539818 |
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