Reid, Timothy Neil

Reid, Timothy Neil is an individual health care provider with primary practice located at 1502 N Jefferson St , Carrollton MO 64633-1948. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Reid, Timothy Neil can be contacted via phone (660) 542-1695.

Contact Information

Primary practice address
1502 N Jefferson St Carrollton MO 64633-1948
Phone: (660) 542-1695
Fax: (660) 542-1944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 2005018441 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2005018441 Missouri

Profile Details

NPI number 1811090780
LBN Legal business name Reid, Timothy Neil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Oct 29th, 2021 - 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 1811090780 NPPES
Missouri MEDICAID 209427608
Missouri MEDICAID 1811090780

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