Smith, Timothy
Smith, Timothy is an sole proprietor health care provider with primary practice located at 10301 Gateway Blvd W , El Paso TX 79925-7701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Smith, Timothy can be contacted via phone (309) 373-3449.Contact Information
Primary practice address
10301 Gateway Blvd W
El Paso TX 79925-7701
Phone: (309) 373-3449
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | TRN25581 | Florida |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2016022430 | Missouri |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | T7743 | Texas |
Profile Details
| NPI number | 1497209548 |
|---|---|
| LBN Legal business name | Smith, Timothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2016 |
| Last updated | Oct 14th, 2022 - about 3 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 | 1497209548 | NPPES |
| Missouri | Other | 2016022430 | MISSOURI BOARD OF HEALING ARTS |
| Missouri | Other | T7743 | MISSOURI BOARD OF HEALING ARTS |
| Missouri | Other | TRN25581 | MISSOURI BOARD OF HEALING ARTS |
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