Spires, Timothy Davenport

Spires, Timothy Davenport is an individual health care provider with primary practice located at 1501 Louisville Ave , Monroe LA 71201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Spires, Timothy Davenport can be contacted via phone (318) 323-8451.

Contact Information

Primary practice address
1501 Louisville Ave Monroe LA 71201
Phone: (318) 323-8451
Fax: (318) 361-2613
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD.202856 Louisiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X LL27093 South Carolina

Profile Details

NPI number 1346257870
LBN Legal business name Spires, Timothy Davenport
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Sep 20th, 2010 - about 14 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 1346257870 NPPES
Louisiana MEDICAID 1803138

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