Mims, Timothy T
Mims, Timothy T is an individual health care provider with primary practice located at 2443 Sir Barton Way Ste 275 , Lexington KY 40509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Mims, Timothy T can be contacted via phone (812) 962-7890.Contact Information
Primary practice address
2443 Sir Barton Way Ste 275
Lexington KY 40509
Phone: (812) 962-7890
Fax: (812) 476-6162
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 231723 | New York |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 48908 | Kentucky |
Profile Details
| NPI number | 1083692982 |
|---|---|
| LBN Legal business name | Mims, Timothy T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Aug 10th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083692982 | NPPES |
| New York | MEDICAID | 02566392 | |
| New York | MEDICAID | 7100428760 |
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