Siwy, Tymoteusz Jakub

Siwy, Tymoteusz Jakub is an individual health care provider with primary practice located at 104 1/2 Forrest Ave Ste 1 , Narberth PA 19072-2220. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Siwy, Tymoteusz Jakub can be contacted via phone (610) 664-1070.

Contact Information

Primary practice address
104 1/2 Forrest Ave Ste 1 Narberth PA 19072-2220
Fax: (610) 664-6853
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC007091 Pennsylvania

Profile Details

NPI number 1316564107
LBN Legal business name Siwy, Tymoteusz Jakub
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2020
Last updated Aug 18th, 2023 - about last year

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 1316564107 NPPES
Pennsylvania Other SC007091 PA BOARD OF PODIATRY

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