Godfrey, Timothy
Godfrey, Timothy is an sole proprietor health care provider with primary practice located at 76 Willowbrook Blvd , Wayne NJ 07470-7002. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Godfrey, Timothy can be contacted via phone (862) 246-7938.Contact Information
Primary practice address
76 Willowbrook Blvd
Wayne NJ 07470-7002
Phone: (862) 246-7938
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 25MP00560000 | New Jersey |
Profile Details
| NPI number | 1689108987 |
|---|---|
| LBN Legal business name | Godfrey, Timothy |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2017 |
| Last updated | May 19th, 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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