Pendleton, Timothy Paul
Pendleton, Timothy Paul is an individual health care provider with primary practice located at 111 Summit Street , Brookville PA 15825. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Pendleton, Timothy Paul can be contacted via phone (814) 849-8329.Contact Information
Primary practice address
111 Summit Street
Brookville PA 15825
Phone: (814) 849-8329
Fax: (814) 849-5441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | A53094 | California |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD428157 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD428157 | Pennsylvania |
Profile Details
| NPI number | 1801862693 |
|---|---|
| LBN Legal business name | Pendleton, Timothy Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Dec 16th, 2014 - about 11 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 | 1801862693 | NPPES |
| Pennsylvania | Other | 612414900 | BLACK LUNG |
| Pennsylvania | MEDICAID | 101770225 | BLACK LUNG |
| Pennsylvania | Other | 1486953 | BLACK LUNG |
| Pennsylvania | Other | 104242 | BLACK LUNG |
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