Prescott, Timothy Alan

Prescott, Timothy Alan is an individual health care provider with primary practice located at 122 12Th Street Ext Princeton Community Hospital, Princeton WV 24740-2352. 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. Prescott, Timothy Alan can be contacted via phone (304) 487-7275.

Contact Information

Primary practice address
122 12Th Street Ext Princeton Community Hospital Princeton WV 24740-2352
Phone: (304) 487-7275
Fax: (304) 487-7153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 934 West Virginia

Profile Details

NPI number 1104868231
LBN Legal business name Prescott, Timothy Alan
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Oct 20th, 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 1104868231 NPPES
West Virginia Other P00241089 MEDICARE RAILROAD
West Virginia Other 001902890 MEDICARE RAILROAD

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