Yawn, Timothy Wayne

Yawn, Timothy Wayne is an individual health care provider with primary practice located at 1615W Persimmon St B , Rogers AR 72756-3383. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Yawn, Timothy Wayne can be contacted via phone (479) 636-7192.

Contact Information

Primary practice address
1615W Persimmon St B Rogers AR 72756-3383
Phone: (479) 636-7192
Fax: (479) 631-8212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C7558 Arkansas

Profile Details

NPI number 1801869185
LBN Legal business name Yawn, Timothy Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Oct 16th, 2015 - about 9 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 1801869185 NPPES
Arkansas MEDICAID 115750001
Arkansas Other 080050005
Arkansas Other 52435

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