Garland, Fernald Timothy

Garland, Fernald Timothy is an individual health care provider with primary practice located at 67 Eustis Pkwy , Waterville ME 04901-5173. 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. Garland, Fernald Timothy can be contacted via phone (207) 873-2136.

Contact Information

Primary practice address
67 Eustis Pkwy Waterville ME 04901-5173
Phone: (207) 873-2136
Fax: (207) 872-4522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA314 Maine

Profile Details

NPI number 1407866114
LBN Legal business name Garland, Fernald Timothy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 18 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 1407866114 NPPES
Maine Other P00004586 RAILROAD MEDICARE

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