Markantes, Timothy Charles

Markantes, Timothy Charles is an individual health care provider with primary practice located at 500 W Thomas Rd Ste 230 , Phoenix AZ 85013-4245. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Markantes, Timothy Charles can be contacted via phone (602) 406-9999.

Contact Information

Primary practice address
500 W Thomas Rd Ste 230 Phoenix AZ 85013-4245
Phone: (602) 406-9999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP3411 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X AP3278 Arizona

Profile Details

NPI number 1972879211
LBN Legal business name Markantes, Timothy Charles
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2012
Last updated Oct 18th, 2016 - about 10 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 1972879211 NPPES
Arizona MEDICAID 163191

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