Poquette, Timothy

Poquette, Timothy is an individual health care provider with primary practice located at 1716 Hartford St , Lafayette IN 47904-2138. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Poquette, Timothy can be contacted via phone (765) 742-1567.

Contact Information

Primary practice address
1716 Hartford St Lafayette IN 47904-2138
Phone: (765) 742-1567
Fax: (765) 742-2750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71009141A Indiana

Profile Details

NPI number 1427613447
LBN Legal business name Poquette, Timothy
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2019
Last updated Jul 29th, 2024 - about 2 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 1427613447 NPPES
Indiana MEDICAID 300034486

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