Pruchnic, Timothy F

Pruchnic, Timothy F is an individual health care provider with primary practice located at 489 State St , Bangor ME 04401-6616. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Pruchnic, Timothy F can be contacted via phone (207) 973-7000.

Contact Information

Primary practice address
489 State St Bangor ME 04401-6616
Fax: (207) 973-5042
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X ME0093552 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44018 Kentucky
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X MD19592 Maine

Profile Details

NPI number 1851392385
LBN Legal business name Pruchnic, Timothy F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Mar 13th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851392385 NPPES
Kentucky Other P00974623 RR MEDICARE
Kentucky Other 000000729969 RR MEDICARE

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