La Gasse, Timothy Robert

La Gasse, Timothy Robert is an sole proprietor health care provider with primary practice located at 401 Connable Ave , Petoskey MI 49770. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. La Gasse, Timothy Robert can be contacted via phone (231) 487-4520.

Contact Information

Primary practice address
401 Connable Ave Petoskey MI 49770
Phone: (231) 487-4520
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4704249602 Michigan

Profile Details

NPI number 1013424191
LBN Legal business name La Gasse, Timothy Robert
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2018
Last updated Jan 10th, 2018 - about 7 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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