Rose, Timothy

Rose, Timothy is an individual health care provider with primary practice located at 5 Morgan Hwy Suite 4, Scranton PA 18508-2641. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Rose, Timothy can be contacted via phone (570) 344-3788.

Contact Information

Primary practice address
5 Morgan Hwy Suite 4 Scranton PA 18508-2641
Phone: (570) 344-3788
Fax: (570) 969-9280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA-002994-L Pennsylvania

Profile Details

NPI number 1174518138
LBN Legal business name Rose, Timothy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Nov 8th, 2016 - 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 1174518138 NPPES
Pennsylvania MEDICAID 103194279-0001
Pennsylvania Other 073695
Pennsylvania Other 50076567
Pennsylvania Other P00059096

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