Odom, Timothy E
Odom, Timothy E is an sole proprietor health care provider with primary practice located at 5521 Bellaire Dr S Ste. 100, Fort Worth TX 76109-8838. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Odom, Timothy E can be contacted via phone (817) 723-4441.Contact Information
Primary practice address
5521 Bellaire Dr S Ste. 100
Fort Worth TX 76109-8838
Phone: (817) 723-4441
Fax: (817) 732-2472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Orthopedic | 111NX0800X | DC5994 | Texas |
Profile Details
| NPI number | 1952320756 |
|---|---|
| LBN Legal business name | Odom, Timothy E |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Feb 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952320756 | NPPES |
| Texas | MEDICAID | 2306040318 |
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