Idiaghe, Timothy
Idiaghe, Timothy is an individual health care provider with primary practice located at 129 N Washington St , Sumter SC 29150. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Idiaghe, Timothy can be contacted via phone (803) 774-9680.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301089530 | Michigan |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 31331 | South Carolina |
Profile Details
NPI number | 1437362456 |
---|---|
LBN Legal business name | Idiaghe, Timothy |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 7th, 2007 |
Last updated | Dec 10th, 2018 - about 6 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 | 1437362456 | NPPES |
South Carolina | MEDICAID | 313315 |
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