Tiberia, Timothy Ryan

Tiberia, Timothy Ryan is an sole proprietor health care provider with primary practice located at 3039 Glenn Valley Ln Apt 306 , Indian Trail NC 28079-0060. 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. Tiberia, Timothy Ryan can be contacted via phone (313) 910-3726.

Contact Information

Primary practice address
3039 Glenn Valley Ln Apt 306 Indian Trail NC 28079-0060
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0008402 Maryland

Profile Details

NPI number 1114518818
LBN Legal business name Tiberia, Timothy Ryan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2021
Last updated May 6th, 2022 - about 4 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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