Race, Timothy Matthew
Race, Timothy Matthew is an individual health care provider with primary practice located at 142 Davenport St , Plymouth PA 18651-1604. 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. Race, Timothy Matthew can be contacted via phone (570) 899-1871.Contact Information
Primary practice address
142 Davenport St
Plymouth PA 18651-1604
Phone: (570) 899-1871
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | SP028392 | Pennsylvania |
Profile Details
| NPI number | 1083486625 |
|---|---|
| LBN Legal business name | Race, Timothy Matthew |
| Credentials | MSN, CRNP, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2023 |
| Last updated | Dec 4th, 2023 - about 3 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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