Laseter, Timothy E

Laseter, Timothy E is an individual health care provider with primary practice located at 1771 Madison St , Clarksville TN 37043-4990. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Laseter, Timothy E can be contacted via phone (931) 552-6622.

Contact Information

Primary practice address
1771 Madison St Clarksville TN 37043-4990
Phone: (931) 552-6622
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1625 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X N0199 Texas

Profile Details

NPI number 1598706384
LBN Legal business name Laseter, Timothy E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Feb 2nd, 2009 - about 16 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 1598706384 NPPES
Texas Other 8B8472 BCBS
Texas MEDICAID 195010702 BCBS
Texas Other 8X1238 BCBS
Texas MEDICAID 195010701 BCBS
Texas Other P00651455 BCBS
Texas MEDICAID 3300734 BCBS

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