Smalley, Tim K
Smalley, Tim K is an sole proprietor health care provider with primary practice located at 407 N Highway 102 , Mcloud OK 74851. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Smalley, Tim K can be contacted via phone (405) 964-2081.Contact Information
Primary practice address
407 N Highway 102
Mcloud OK 74851
Phone: (405) 964-2081
Fax: (405) 964-2053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 8274 | Oklahoma |
Profile Details
| NPI number | 1457357972 |
|---|---|
| LBN Legal business name | Smalley, Tim K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Dec 4th, 2009 - about 16 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 | 1457357972 | NPPES |
| Oklahoma | MEDICAID | 1108274 |
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