Peasak, Timothy M
Peasak, Timothy M is an individual health care provider with primary practice located at 1370 Johnson Ave 1St Floor, Bridgeport WV 26330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Peasak, Timothy M can be contacted via phone (304) 842-3330.Contact Information
Primary practice address
1370 Johnson Ave 1St Floor
Bridgeport WV 26330
Phone: (304) 842-3330
Fax: (304) 842-3303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 34.008542 | Ohio |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 1942 | West Virginia |
Profile Details
| NPI number | 1720142391 |
|---|---|
| LBN Legal business name | Peasak, Timothy M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Nov 1st, 2016 - about 10 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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