Kabtimer, Hailu T

Kabtimer, Hailu T is an individual health care provider with primary practice located at 919 W Main St M3 , Hendersonville TN 37075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kabtimer, Hailu T can be contacted via phone (615) 826-2102.

Contact Information

Primary practice address
919 W Main St M3 Hendersonville TN 37075
Fax: (615) 826-2743
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD0000030413 Tennessee

Profile Details

NPI number 1013009729
LBN Legal business name Kabtimer, Hailu T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Dec 11th, 2009 - about 15 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 1013009729 NPPES
Tennessee MEDICAID 3843759

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