Jenkins, Timothy Owen

Jenkins, Timothy Owen is an individual health care provider with primary practice located at 1701 East Blvd , Charlotte NC 28203-5823. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Jenkins, Timothy Owen can be contacted via phone (704) 334-7800.

Contact Information

Primary practice address
1701 East Blvd Charlotte NC 28203-5823
Phone: (704) 334-7800
Fax: (704) 414-7512
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 32318 North Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 32318 North Carolina

Profile Details

NPI number 1558310011
LBN Legal business name Jenkins, Timothy Owen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Dec 26th, 2015 - about 9 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 1558310011 NPPES
North Carolina MEDICAID 7945886

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