Douglas, Timothy
Douglas, Timothy is an individual health care provider with primary practice located at 4202 Mccorkle Ave Sw Ste 200 , South Charleston WV 25309-1513. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Douglas, Timothy can be contacted via phone (304) 925-7546.Contact Information
Primary practice address
4202 Mccorkle Ave Sw Ste 200
South Charleston WV 25309-1513
Phone: (304) 925-7546
Fax: (681) 205-8369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1841603529 |
|---|---|
| LBN Legal business name | Douglas, Timothy |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2014 |
| Last updated | Sep 30th, 2020 - 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.
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