Johnson, Timothy Shane
Johnson, Timothy Shane is an individual health care provider with primary practice located at 30 Hope Dr Ste 1860 , Hershey PA 17033-2036. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Johnson, Timothy Shane can be contacted via phone (717) 531-8952.Contact Information
Primary practice address
30 Hope Dr Ste 1860
Hershey PA 17033-2036
Phone: (717) 531-8952
Fax: (717) 531-0098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | MD424449 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | MD424449 | Pennsylvania |
Profile Details
| NPI number | 1144245911 |
|---|---|
| LBN Legal business name | Johnson, Timothy Shane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Dec 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144245911 | NPPES |
| Pennsylvania | MEDICAID | 1016969880001 |
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