Wirth, Timothy M

Wirth, Timothy M is an individual health care provider with primary practice located at 3200 Reading Crest Ave , Reading PA 19605-1656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wirth, Timothy M can be contacted via phone (610) 816-2120.

Contact Information

Primary practice address
3200 Reading Crest Ave Reading PA 19605-1656
Fax: (610) 929-5138
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD031593E Pennsylvania

Profile Details

NPI number 1396741765
LBN Legal business name Wirth, Timothy M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Apr 11th, 2018 - about 6 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 1396741765 NPPES
Pennsylvania MEDICAID 001482399

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