Slavens, Timothy Earl

Slavens, Timothy Earl is an individual health care provider with primary practice located at 9627 Route 35 Suite 10, Mt Pleasant Mills PA 17853-8409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Slavens, Timothy Earl can be contacted via phone (570) 539-2561.

Contact Information

Primary practice address
9627 Route 35 Suite 10 Mt Pleasant Mills PA 17853-8409
Phone: (570) 539-2561
Fax: (570) 539-2702
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD070817L Pennsylvania

Profile Details

NPI number 1184793200
LBN Legal business name Slavens, Timothy Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Dec 30th, 2015 - about 10 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 1184793200 NPPES
Pennsylvania MEDICAID 0018166350018

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