Carpenter, Timothy John

Carpenter, Timothy John is an individual health care provider with primary practice located at 1009 W Green St , Hastings MI 49058-1790. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Carpenter, Timothy John can be contacted via phone (219) 738-5510.

Contact Information

Primary practice address
1009 W Green St Hastings MI 49058-1790
Phone: (219) 738-5510
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1801566401
LBN Legal business name Carpenter, Timothy John
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2021
Last updated Jan 18th, 2024 - about 2 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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