Powell, Timothy John

Powell, Timothy John is an individual health care provider with primary practice located at 406 N Whitney Ave Ste 5 , Cookeville TN 38501-4243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Powell, Timothy John can be contacted via phone (931) 783-4269.

Contact Information

Primary practice address
406 N Whitney Ave Ste 5 Cookeville TN 38501-4243
Phone: (931) 783-4269
Fax: (931) 372-0401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD31584 Tennessee

Profile Details

NPI number 1801890694
LBN Legal business name Powell, Timothy John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jan 6th, 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 1801890694 NPPES
Tennessee Other 4256820 BCBS
Tennessee MEDICAID 3861349 BCBS
Tennessee MEDICAID 7100155930 BCBS

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