Immelman, Timothy

Immelman, Timothy is an individual health care provider with primary practice located at 3325 Silas Creek Pkwy , Winston Salem NC 27103-3013. He recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as his primary health care specialty. Immelman, Timothy can be contacted via phone (320) 761-1395.

Contact Information

Primary practice address
3325 Silas Creek Pkwy Winston Salem NC 27103-3013
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X 103590 North Carolina

Profile Details

NPI number 1245088186
LBN Legal business name Immelman, Timothy
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2024
Last updated May 7th, 2024 - about 6 months 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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