Samolitis, Timothy James

Samolitis, Timothy James is an individual health care provider with primary practice located at 8600 N. State Route 91 Suite 250, Peoria IL 61615. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Samolitis, Timothy James can be contacted via phone (309) 692-5394.

Contact Information

Primary practice address
8600 N. State Route 91 Suite 250 Peoria IL 61615
Phone: (309) 692-5394
Fax: (309) 692-2538
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209005907 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R143228 Maryland

Profile Details

NPI number 1588651566
LBN Legal business name Samolitis, Timothy James
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jun 13th, 2019 - about 5 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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