Gacioch, Timothy Paul

Gacioch, Timothy Paul is an individual health care provider with primary practice located at 4300 Perimeter Rd (341St Med Group) Bldg 2040, Room S156, Malmstrom Afb MT 59402-0001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Gacioch, Timothy Paul can be contacted via phone (406) 731-2928.

Contact Information

Primary practice address
4300 Perimeter Rd (341St Med Group) Bldg 2040, Room S156 Malmstrom Afb MT 59402-0001
Phone: (406) 731-2928
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1356329817
LBN Legal business name Gacioch, Timothy Paul
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Mar 6th, 2012 - about 14 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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