Martin, Timothy Paul

Martin, Timothy Paul is an sole proprietor health care provider with primary practice located at 200 Medical Cir , Tylertown MS 39667-2069. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Martin, Timothy Paul can be contacted via phone (731) 394-1145.

Contact Information

Primary practice address
200 Medical Cir Tylertown MS 39667-2069
Phone: (731) 394-1145
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 204457 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 903370 Mississippi

Profile Details

NPI number 1336601723
LBN Legal business name Martin, Timothy Paul
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2019
Last updated Jul 8th, 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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