Holmes, Morgan Timothy

Holmes, Morgan Timothy is an sole proprietor health care provider with primary practice located at 90 E Main St Suite 3, North East PA 16428-1319. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Holmes, Morgan Timothy can be contacted via phone (814) 725-2715.

Contact Information

Primary practice address
90 E Main St Suite 3 North East PA 16428-1319
Fax: (814) 725-5186
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC003377L Pennsylvania

Profile Details

NPI number 1144220732
LBN Legal business name Holmes, Morgan Timothy
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2005
Last updated Nov 15th, 2010 - about 14 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 1144220732 NPPES
Pennsylvania Other 481559 HIGHMARK
Pennsylvania MEDICAID 0012954200006 HIGHMARK

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