Wierson, Timothy

Wierson, Timothy is an individual health care provider with primary practice located at 484 Golden Autumn Way Ste 201 , Bowling Green KY 42103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wierson, Timothy can be contacted via phone (270) 783-3340.

Contact Information

Primary practice address
484 Golden Autumn Way Ste 201 Bowling Green KY 42103
Phone: (270) 783-3340
Fax: (270) 780-0492
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 26264 Kentucky

Profile Details

NPI number 1295731602
LBN Legal business name Wierson, Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated May 13th, 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 1295731602 NPPES
Kentucky MEDICAID 64262645

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