Fitch, Timothy J

Fitch, Timothy J is an individual health care provider with primary practice located at 450 S Willard St , Cottonwood AZ 86326-6743. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fitch, Timothy J can be contacted via phone (928) 649-7960.

Contact Information

Primary practice address
450 S Willard St Cottonwood AZ 86326-6743
Phone: (928) 649-7960
Fax: (928) 634-1117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 6076 Arizona

Profile Details

NPI number 1063417756
LBN Legal business name Fitch, Timothy J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Apr 11th, 2019 - about 6 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 1063417756 NPPES
Arizona MEDICAID 158628

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