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Contact Information

TIMOTHY A BOLYARD, PA C
411 MORGANTOWN ST
KINGWOOD, WV26537
 Phone: 304-329-0555
 Fax: 304-329-0556
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TIMOTHY A BOLYARD · (Male)

NPI Number 1891769063
Status Active
Credentials PA C
Entity Individual
Enumeration date 02/15/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • WV License # 284
  • WV Medicaid 1804868000
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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