Timothy Street in Elizabethton - Driver

Timothy Street - NPI 1760602338

Timothy Street is a Driver in Elizabethton, Tennessee. Timothy Street practices all healthcare services and medical treatments related to Driver. The NPI Number for Timothy Street is 1760602338. The last update date is 2008-08-06.

Timothy Street's current location address is 204 Old Siam Rd, Elizabethton, Tennessee. You can contact this provider via phone number 4238950425 and fax number 4235437707. The mailing address for Timothy Street is 204 Old Siam Rd, Elizabethton, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Timothy Street
Address 204 Old Siam Rd, Elizabethton, Tennessee
Phone Number 4238950425
Fax Number 4235437707
Sole Proprietor --
Credentials --

Authorized Official

Title or Position TRANSPORTA
Authorized Official Name Street John Timothy
Telephone Number 4238950425

NPI Number Detail

NPI Number 1760602338
Provider Enumeration Date 2007-04-26
Last Updated Date 2008-08-06

Provider Mailing Address Detail

Address 204 Old Siam Rd
City Elizabethton
State Tennessee (TN)
Post Code 37643
Phone Number 4238950425
Fax Number 4235437707

Provider's Primary Taxonomy Detail

Speciality Driver
Taxonomy 172A00000X
Licence No 52488290
Definition:
A person employed to operate a motor vehicle as a carrier of persons or property.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
T000186 TN --

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FAQs about Timothy Street

What is the Timothy Street's unique identification number?

The Timothy Street has been assigned the NPI (National Provider Identifier) Number 1760602338 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Timothy Street's facilities are situated?

The facilities of Timothy Street are physically located at the following address: 204 Old Siam Rd, Elizabethton, TN, 37643.

What is Timothy Street's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Timothy Street's specialized field of practice is Driver, and the corresponding taxonomy code that categorizes this area of specialization is 172A00000X.

On what date was the 1760602338 assigned to Timothy Street?

The Timothy Street was issued its 1760602338 on 2007-04-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Timothy Street most recently updated or refreshed?

The details pertaining to the Timothy Street, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-06.

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