Lawson, Timothy Wayne

Lawson, Timothy Wayne is an individual health care provider with primary practice located at 120 Harper Ct , Beckley WV 25801-2650. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Lawson, Timothy Wayne can be contacted via phone (681) 238-6101.

Contact Information

Primary practice address
120 Harper Ct Beckley WV 25801-2650
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X West Virginia

Profile Details

NPI number 1417657743
LBN Legal business name Lawson, Timothy Wayne
Credentials PRSS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2023
Last updated Mar 6th, 2023 - about last year

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 1417657743 NPPES
West Virginia MEDICAID H1500687801

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