Carmack, John Timothy
Carmack, John Timothy is an individual health care provider with primary practice located at 618 Hospital Rd , Tappahannock VA 22560-5000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Carmack, John Timothy can be contacted via phone (804) 443-6297.Contact Information
Primary practice address
618 Hospital Rd
Tappahannock VA 22560-5000
Phone: (804) 443-6297
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 0101045525 | Virginia |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD.09541R | Louisiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101045525 | Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 30744 | West Virginia |
Profile Details
| NPI number | 1023034972 |
|---|---|
| LBN Legal business name | Carmack, John Timothy |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | May 15th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023034972 | NPPES |
| Virginia | MEDICAID | 005639301 | |
| Virginia | MEDICAID | 005829623 | |
| Virginia | MEDICAID | 1023034972 |
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