National Provider Identifier
Timothy Jay Shevlin Jr.
Timothy Jay Shevlin Jr. is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Ithaca, NY and a listed phone number of (267) 374-2564.
Profile Overview
- NPI
- 1437780855
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- February 04, 2020
- Last Updated
- February 04, 2020
Practice Location
- 953 Danby RD
- Ithaca, NY 14850-7002
Phone: (267) 374-2564
Mailing Address
- 1225 Cobblestone Dr
- Quakertown, PA 18951-2657
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1437780855
- Entity Type
- Individual
- Last Name
- Shevlin
- First Name
- Timothy
- Middle Name
- Jay
- Name Suffix
- Jr.
- Mailing Street Address
- 1225 Cobblestone Dr
- Mailing City
- Quakertown
- Mailing State
- PA
- Mailing ZIP Code
- 18951-2657
- Mailing Country
- US
- Mailing Phone
- (267) 374-2564
- Practice Street Address
- 953 Danby RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-7002
- Practice Country
- US
- Practice Phone
- (267) 374-2564
- Enumeration Date
- February 04, 2020
- Last Updated
- February 04, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- February 04, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)