Powell, Timothy J
Powell, Timothy J is an individual health care provider with primary practice located at 91 Hospital Drive , Towanda PA 18848. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Powell, Timothy J can be contacted via phone (570) 268-4713.Contact Information
Primary practice address
91 Hospital Drive
Towanda PA 18848
Phone: (570) 268-4713
Fax: (570) 268-4716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD037921E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD037921E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 25MA05415300 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA05415300 | New Jersey |
Profile Details
| NPI number | 1639136955 |
|---|---|
| LBN Legal business name | Powell, Timothy J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Mar 8th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639136955 | NPPES |
| Pennsylvania | MEDICAID | 1025499870002 |
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