Individual
TIMOTHY J. TRAINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
58515 PEARL ACRES RD, SLIDELL, LA 70461-5423
(985) 641-8982
(985) 646-0696
Mailing address
PO BOX 848778, BOSTON, MA 02284-8778
(985) 871-1721
(985) 893-6908
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
019160
LA
207RG0100X
Gastroenterology Physician
122969
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00013405
—
MS
01
—
110043222
RAILROAD MEDICARE
LA
05
—
1387690
—
LA
Enumeration date
04/03/2006
Last updated
02/29/2012
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