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Contact Information

SALLY A TIMMONS LLC
120 SAGAMORE PARKWAY WEST
WEST LAFAYETTE, IN47906
 Phone: 765-404-6431
 Fax: 765-477-7843
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for SALLY A TIMMONS LLC

NPI # 1871784330
LBN Legal business name SALLY A TIMMONS LLC
Authorized official SALLY TIMMONS - (REGISTERED AGENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/08/2007
Last updated 11/15/2007 - About 19 years ago
Identifiers
IN License # 34004910A
IN Other 000000375779 ANTHEM BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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