Marquell, Timothy Wayne

Marquell, Timothy Wayne is an individual health care provider with primary practice located at 6000 W Highway 98 , Pensacola FL 32512-6251. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Marquell, Timothy Wayne can be contacted via phone (850) 505-6199.

Contact Information

Primary practice address
6000 W Highway 98 Pensacola FL 32512-6251
Phone: (850) 505-6199
Fax: (850) 505-6484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X CRT38045 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1826 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9107354 Florida

Profile Details

NPI number 1093038952
LBN Legal business name Marquell, Timothy Wayne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2010
Last updated Jul 21st, 2022 - about 3 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 1093038952 NPPES
Tennessee MEDICAID 1520423

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