Souchek, Timothy J.

Souchek, Timothy J. is an individual health care provider with primary practice located at 715 Tank Farm Rd Suite C, San Luis Obispo CA 93401-7068. 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. Souchek, Timothy J. can be contacted via phone (805) 543-5577.

Contact Information

Primary practice address
715 Tank Farm Rd Suite C San Luis Obispo CA 93401-7068
Phone: (805) 543-5577
Fax: (805) 595-3231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 13772 California

Profile Details

NPI number 1194709881
LBN Legal business name Souchek, Timothy J.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Nov 8th, 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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