Wallner, Timothy A

Wallner, Timothy A is an individual health care provider with primary practice located at 38035 Medical Center Ave , Zephyrhills FL 33540-1384. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Wallner, Timothy A can be contacted via phone (813) 788-1400.

Contact Information

Primary practice address
38035 Medical Center Ave Zephyrhills FL 33540-1384
Phone: (813) 788-1400
Fax: (813) 788-7691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0003396 Maryland

Profile Details

NPI number 1679661854
LBN Legal business name Wallner, Timothy A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Nov 4th, 2014 - 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 1679661854 NPPES
Florida Other PA9104784 FL LICENSE

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