Krall, Timothy
Krall, Timothy is an sole proprietor health care provider with primary practice located at 710 Thompson Avenue Sto Rox Family Health Center, Mckees Rocks PA 15136. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Krall, Timothy can be contacted via phone (412) 771-6462.Contact Information
Primary practice address
710 Thompson Avenue Sto Rox Family Health Center
Mckees Rocks PA 15136
Phone: (412) 771-6462
Fax: (412) 771-5887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DS027355L | Pennsylvania |
Profile Details
| NPI number | 1609819713 |
|---|---|
| LBN Legal business name | Krall, Timothy |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Dec 10th, 2012 - about 12 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 | 1609819713 | NPPES |
| Pennsylvania | MEDICAID | 0012090200003 |
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