Mckernan, Timothy B

Mckernan, Timothy B is an individual health care provider with primary practice located at 1906 Belleview Ave Se Emergency Dept., Roanoke VA 24014-1838. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Mckernan, Timothy B can be contacted via phone (540) 981-7000.

Contact Information

Primary practice address
1906 Belleview Ave Se Emergency Dept. Roanoke VA 24014-1838
Phone: (540) 981-7000
Fax: (540) 981-9550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101222078 Virginia
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 0101222078 Virginia

Profile Details

NPI number 1821059981
LBN Legal business name Mckernan, Timothy B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Oct 26th, 2021 - about 4 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 1821059981 NPPES
Virginia MEDICAID 010043913
Virginia MEDICAID 010043603

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