Leroy, Timothy James

Leroy, Timothy James is an individual health care provider with primary practice located at 9245 Park West Blvd , Knoxville TN 37923-4425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Leroy, Timothy James can be contacted via phone (865) 690-3811.

Contact Information

Primary practice address
9245 Park West Blvd Knoxville TN 37923-4425
Phone: (865) 690-3811
Fax: (865) 525-6498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD0000047250 Tennessee
Allopathic & Osteopathic Physicians / Urology 208800000X ME99488 Florida

Profile Details

NPI number 1770754137
LBN Legal business name Leroy, Timothy James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2008
Last updated Apr 5th, 2023 - about last year

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 1770754137 NPPES
Tennessee MEDICAID 1524562

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