Carroll, Timothy Martin

Carroll, Timothy Martin is an individual health care provider with primary practice located at 300 State St Fl 4 , Erie PA 16507-1427. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Carroll, Timothy Martin can be contacted via phone (814) 877-5330.

Contact Information

Primary practice address
300 State St Fl 4 Erie PA 16507-1427
Phone: (814) 877-5330
Fax: (814) 877-5331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X SP021146 Pennsylvania

Profile Details

NPI number 1902446248
LBN Legal business name Carroll, Timothy Martin
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2020
Last updated Oct 28th, 2021 - about 5 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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