Iliff, Timothy M
Iliff, Timothy M is an individual health care provider with primary practice located at 602 Sandpiper Ln , Daphne AL 36526-4615. 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. Iliff, Timothy M can be contacted via phone (251) 460-0326.Contact Information
Primary practice address
602 Sandpiper Ln
Daphne AL 36526-4615
Phone: (251) 460-0326
Fax: (251) 460-2846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 10759 | Alabama |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 10759 | Alabama |
Profile Details
| NPI number | 1770564395 |
|---|---|
| LBN Legal business name | Iliff, Timothy M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | May 23rd, 2023 - about last year |
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 | 1770564395 | NPPES |
| Alabama | Other | 051519010 | BCBS OF AL |
| Alabama | Other | 051514784 | BCBS OF AL |
| Alabama | MEDICAID | 009937995 | BCBS OF AL |
| Alabama | Other | 051514787 | BCBS OF AL |
| Alabama | Other | 0080180145 | BCBS OF AL |
| Alabama | MEDICAID | 009926395 | BCBS OF AL |
| Alabama | MEDICAID | 009938315 | BCBS OF AL |
| Alabama | Other | 051527785 | BCBS OF AL |
| Alabama | Other | 05158632 | BCBS OF AL |
| Alabama | MEDICAID | 009980670 | BCBS OF AL |
| Alabama | MEDICAID | 009989605 | BCBS OF AL |
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