Pancioli, Timothy

Pancioli, Timothy is an individual health care provider with primary practice located at 1036 Fuller Ave Ne , Grand Rapids MI 49503-1304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine. Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine is his primary health care specialty. Pancioli, Timothy can be contacted via phone (248) 898-5000.

Contact Information

Primary practice address
1036 Fuller Ave Ne Grand Rapids MI 49503-1304
Phone: (248) 898-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 5101023083 Michigan
Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine 207ZB0001X 5101025981 Michigan

Profile Details

NPI number 1285161315
LBN Legal business name Pancioli, Timothy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2017
Last updated Jun 2nd, 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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