Mr. Timothy A Carlson
Nurse Practitioner
2234 Perkiomen Ave
Reading
, Pennsylvania 19606-1830
Mr. Timothy A Carlson
Nurse Practitioner
2234 Perkiomen Ave
Reading
, Pennsylvania 19606-1830
(610) 370-9348
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Mr. Timothy A Carlson
- 2234 Perkiomen Ave
- Reading, PA
- Zip : 19606-1830
- Fax : (610) 370-9348
- Phone : (610) 370-2511
Second Address
- Mr. Timothy A Carlson
- 2234 Perkiomen Ave
- Reading, PA
- Zip : 19606-1830
- Fax : (610) 370-9348
- Phone : (610) 370-2511
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP005613B | PA |
National Provider Identifier
| NPI | 1003818758 |
|---|---|
| Provider Name | Mr. Timothy A Carlson |
| First Address | Reading, PA 19606-1830 |
| Second Address | Reading, PA 19606-1830 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/08/2005 |
| Last Update Date | 29/04/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 007706668 | (05) | PA |
| 589207 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.