Ko, Timothy Yee-Tak

Ko, Timothy Yee-Tak is an individual health care provider with primary practice located at 2374 Village Common Dr Ste 100 , Erie PA 16506-7201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Ko, Timothy Yee-Tak can be contacted via phone (814) 833-7246.

Contact Information

Primary practice address
2374 Village Common Dr Ste 100 Erie PA 16506-7201
Phone: (814) 833-7246
Fax: (814) 833-1147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X MD462767 Pennsylvania
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 35.087753 Ohio

Profile Details

NPI number 1285847699
LBN Legal business name Ko, Timothy Yee-Tak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Jun 11th, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285847699 NPPES
Pennsylvania MEDICAID 1023171040002
Pennsylvania MEDICAID 2769311
Pennsylvania Other 003665938

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