National Provider Identifier Database

TIMOTHY FORD, PA-C – NPI #1750709226
Surgical


Contact Information

TIMOTHY FORD, PA-C
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV25309-1311
Phone: 304-766-3600
Fax:
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X

* Indicates primary specialty

NPI Profile & details for TIMOTHY FORD

NPI Number 1750709226
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/02/2014
Last updated 04/02/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • WV License #: 00429
Hospital affiliation n/a

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.

Reviews for TIMOTHY FORD, PA-C

There are currently no reviews for TIMOTHY FORD, PA-C


NPIdb - Home
v2.201