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Contact Information

TIM DRIEDRIC
3400 S. BOWMAN RD. APT 812
LITTLE ROCK, AR72211
 Phone: 501-351-4185
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for TIM DRIEDRIC · (Male)

NPI # 1386091031
Status Active
Credentials
Entity Individual
Enumeration date 05/23/2016
Last updated 05/23/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • AR License # 618
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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