Gundlach, Timothy Aaron

Gundlach, Timothy Aaron is an individual health care provider with primary practice located at 1936 Tibbetstown Dr , Virginia Beach VA 23454-6743. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Other Service Providers / Independent Duty Corpsman. Other Service Providers / Independent Duty Corpsman is his primary health care specialty. Gundlach, Timothy Aaron can be contacted via phone (757) 301-9715.

Contact Information

Primary practice address
1936 Tibbetstown Dr Virginia Beach VA 23454-6743
Phone: (757) 301-9715
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA61120848 Washington
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1285872457
LBN Legal business name Gundlach, Timothy Aaron
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2009
Last updated Aug 26th, 2021 - 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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