Purcell, Timothy Ryan
Purcell, Timothy Ryan is an individual health care provider with primary practice located at 111 Walker Dr , Edinboro PA 16412-2237. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Purcell, Timothy Ryan can be contacted via phone (814) 734-3991.Contact Information
Primary practice address
111 Walker Dr
Edinboro PA 16412-2237
Phone: (814) 734-3991
Fax: (814) 734-0812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC008936 | Pennsylvania |
Profile Details
| NPI number | 1285634147 |
|---|---|
| LBN Legal business name | Purcell, Timothy Ryan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1285634147 | NPPES |
| Pennsylvania | MEDICAID | 0019386290002 | |
| Pennsylvania | Other | 1445674 |
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