Drevna, Timothy

Drevna, Timothy is an sole proprietor health care provider with primary practice located at 700 Eden Rd , Lancaster PA 17601-4700. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Drevna, Timothy can be contacted via phone (717) 569-4184.

Contact Information

Primary practice address
700 Eden Rd Lancaster PA 17601-4700
Phone: (717) 569-4184
Fax: (717) 569-4192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X RT000203A Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT003023L Pennsylvania

Profile Details

NPI number 1386683654
LBN Legal business name Drevna, Timothy
Credentials DPT,OCS,ATC,CSCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2006
Last updated Jun 7th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386683654 NPPES
Pennsylvania Other 415471 HEALTHAMERICA/ASSURANCE
Pennsylvania Other 9415781 HEALTHAMERICA/ASSURANCE
Pennsylvania Other 50057091 HEALTHAMERICA/ASSURANCE

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