Martin, Timothy Paul
Martin, Timothy Paul is an sole proprietor health care provider with primary practice located at 200 Medical Cir , Tylertown MS 39667-2069. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Martin, Timothy Paul can be contacted via phone (731) 394-1145.Contact Information
Primary practice address
200 Medical Cir
Tylertown MS 39667-2069
Phone: (731) 394-1145
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 204457 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 903370 | Mississippi |
Profile Details
| NPI number | 1336601723 |
|---|---|
| LBN Legal business name | Martin, Timothy Paul |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2019 |
| Last updated | Jul 8th, 2021 - about 4 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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