Smith, Timothy S

Smith, Timothy S is an individual health care provider with primary practice located at 1025 Maine St , Quincy IL 62301-4038. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Smith, Timothy S can be contacted via phone (217) 222-6550.

Contact Information

Primary practice address
1025 Maine St Quincy IL 62301-4038
Phone: (217) 222-6550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 036093943 Illinois
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X 036093943 Illinois

Profile Details

NPI number 1144293929
LBN Legal business name Smith, Timothy S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Apr 4th, 2019 - about 5 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 1144293929 NPPES
Illinois MEDICAID 036093943

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