Gannon, Timothy

Gannon, Timothy is an sole proprietor health care provider with primary practice located at 380 Demott Ln , Somerset NJ 08873-2762. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant is his primary health care specialty. Gannon, Timothy can be contacted via phone (800) 571-6511.

Contact Information

Primary practice address
380 Demott Ln Somerset NJ 08873-2762
Phone: (800) 571-6511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 40QB00317700 New Jersey
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 40QB00317700 New Jersey

Profile Details

NPI number 1346705803
LBN Legal business name Gannon, Timothy
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2019
Last updated Feb 8th, 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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