Pace, Timothy Wayne

Pace, Timothy Wayne is an individual health care provider with primary practice located at 24 Miles Center Way , Damariscotta ME 04543-4067. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Pace, Timothy Wayne can be contacted via phone (207) 563-1040.

Contact Information

Primary practice address
24 Miles Center Way Damariscotta ME 04543-4067
Phone: (207) 563-1040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1939 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9104343 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA644 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9104343 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA1385 Maine

Profile Details

NPI number 1518148873
LBN Legal business name Pace, Timothy Wayne
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2007
Last updated Jul 22nd, 2022 - 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 1518148873 NPPES
Alabama Other 102978408 MEDICARE PTAN
Alabama MEDICAID 262936800 MEDICARE PTAN

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