Upchurch, Timothy Purnell
Upchurch, Timothy Purnell is an individual health care provider with primary practice located at 110 Corporate Dr , Johnson City TN 37604-2008. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Vascular Neurology is his primary health care specialty. Upchurch, Timothy Purnell can be contacted via phone (423) 328-0363.Contact Information
Primary practice address
110 Corporate Dr
Johnson City TN 37604-2008
Phone: (423) 328-0363
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | 2012013562 | Missouri |
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | 12662573-1205 | Utah |
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | 036132897 | Illinois |
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | MD50105 | Iowa |
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | 43687 | Tennessee |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2012013562 | Missouri |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036132897 | Illinois |
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | 42522 | Oklahoma |
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | MD61336519 | Washington |
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | 4301111181 | Michigan |
Profile Details
| NPI number | 1689628745 |
|---|---|
| LBN Legal business name | Upchurch, Timothy Purnell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Feb 12th, 2024 - about last year |
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 | 1689628745 | NPPES |
| Tennessee | Other | 43687 | MEDICAL LICENSE NUMBER |
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