Mccomas, Timothy Stephen

Mccomas, Timothy Stephen is an individual health care provider with primary practice located at 530 S Jackson St , Louisville KY 40202-1675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mccomas, Timothy Stephen can be contacted via phone (502) 852-5851.

Contact Information

Primary practice address
530 S Jackson St Louisville KY 40202-1675
Phone: (502) 852-5851
Fax: (502) 852-3762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2001-252 New Mexico
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 53040 Kentucky

Profile Details

NPI number 1538135199
LBN Legal business name Mccomas, Timothy Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Oct 15th, 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 1538135199 NPPES
New Mexico MEDICAID E2168
New Mexico MEDICAID 7100679560
New Mexico MEDICAID 300042816

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