Vanfleet, Timothy A
Vanfleet, Timothy A is an individual health care provider with primary practice located at 1301 S Koke Mill Rd , Springfield IL 62711-9252. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Vanfleet, Timothy A can be contacted via phone (217) 547-9100.Contact Information
Primary practice address
1301 S Koke Mill Rd
Springfield IL 62711-9252
Phone: (217) 547-9100
Fax: (217) 547-9247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036095777 | Illinois |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 036095777 | Illinois |
Profile Details
| NPI number | 1629057419 |
|---|---|
| LBN Legal business name | Vanfleet, Timothy A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Apr 13th, 2020 - about 4 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 | 1629057419 | NPPES |
| Illinois | MEDICAID | 036095777 | |
| Illinois | Other | 200032476 |
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