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Contact Information

TIMOTHY W MARQUELL, PA-C
1826 N MAIN AVE
ERWIN, TN37650-8932
 Phone: 423-743-6135
 Fax: 423-743-0035
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Radiologic Technologist

247100000X
Indicates primary specialty

NPI Profile & details for TIMOTHY W MARQUELL · (Male)

NPI Number 1093038952
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/08/2010
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # CRT38045
  • FL License # PA9107354
  • TN License # 1826
  • TN Medicaid 1520423
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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