Mercer, Timothy Earl

Mercer, Timothy Earl is an sole proprietor health care provider with primary practice located at 1729 Burrstone Rd , New Hartford NY 13413-1001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mercer, Timothy Earl can be contacted via phone (315) 798-1400.

Contact Information

Primary practice address
1729 Burrstone Rd New Hartford NY 13413-1001
Phone: (315) 798-1400
Fax: (315) 798-1407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 007732 New York

Profile Details

NPI number 1184668675
LBN Legal business name Mercer, Timothy Earl
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Dec 9th, 2017 - about 9 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 1184668675 NPPES
New York MEDICAID 02396409

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