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:
Health care specialties
Specialty | Code | License # | 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 2 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 | 1093038952 | NPPES |
Tennessee | MEDICAID | 1520423 |
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