Brown, Timothy A
Brown, Timothy A is an individual health care provider with primary practice located at 2619 Pennsylvania Ave Ste 2 , Weirton WV 26062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Brown, Timothy A can be contacted via phone (304) 723-3090.Contact Information
Primary practice address
2619 Pennsylvania Ave Ste 2
Weirton WV 26062
Phone: (304) 723-3090
Fax: (304) 723-2576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD026005E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 10935 | West Virginia |
Profile Details
| NPI number | 1053436261 |
|---|---|
| LBN Legal business name | Brown, Timothy A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Jul 22nd, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053436261 | NPPES |
| Pennsylvania | Other | 070000589 | RAILROAD MEDICARE |
| Pennsylvania | MEDICAID | 0016868800001 | RAILROAD MEDICARE |
| Pennsylvania | MEDICAID | 0070312000 | RAILROAD MEDICARE |
| Pennsylvania | Other | 406012595 | RAILROAD MEDICARE |
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