Jenkins, Timothy Douglas

Jenkins, Timothy Douglas is an individual health care provider with primary practice located at 2410 Susannah Street , Johnson City TN 37601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Jenkins, Timothy Douglas can be contacted via phone (423) 282-9011.

Contact Information

Primary practice address
2410 Susannah Street Johnson City TN 37601
Phone: (423) 282-9011
Fax: (423) 282-0035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD0000043343 Tennessee

Profile Details

NPI number 1043421779
LBN Legal business name Jenkins, Timothy Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Dec 16th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043421779 NPPES
Tennessee MEDICAID 1505390

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