Houle, Timothy David

Houle, Timothy David is an individual health care provider with primary practice located at 1 Averitt Express Drive , Nashville TN 37211. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Houle, Timothy David can be contacted via phone (843) 963-6734.

Contact Information

Primary practice address
1 Averitt Express Drive Nashville TN 37211
Phone: (843) 963-6734
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2328 Tennessee

Profile Details

NPI number 1881670073
LBN Legal business name Houle, Timothy David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Aug 12th, 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 1881670073 NPPES
Other 1041457 NCCPA CERTIFICATE

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