Jennings, Timothy W

Jennings, Timothy W is an individual health care provider with primary practice located at 2024 Dorsett Vlg , Maryland Heights MO 63043-2208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jennings, Timothy W can be contacted via phone (314) 590-0550.

Contact Information

Primary practice address
2024 Dorsett Vlg Maryland Heights MO 63043-2208
Phone: (314) 590-0550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MOR6N64 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R6N64 Missouri

Profile Details

NPI number 1548233455
LBN Legal business name Jennings, Timothy W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Oct 22nd, 2020 - about 4 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 1548233455 NPPES
Missouri Other P00035725 RAILROAD MEDICARE

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