| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | TIMOTHY ROBERT SR TEST · Timothy R Test Sr. · Timothy R. Test Sr. · Timothy R. Test Sr., PhD | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Timothy | [sources] | |||
| ID Number | PC007874 · PC007874 (PA) · Promisse# 103022078 | [sources] | |||
| Last name | Test | [sources] | |||
| Middle name | R · R. · ROBERT SR | [sources] | |||
| NPI | 1629374657 | [sources] | |||
| Title | Professional Counselor | [sources] | |||
| Position | COUNSELOR (IND- LIC HC SERV PRO) | [sources] | |||
| Address | (WA), (WA) · 3308 EAST K STREET, TACOMA, WA 98404 · Franklin, PA · Out of State, Out of State | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
People and companies excluded from Federally funded health care programs
United States · OIG
us-fed-excl-timothy-robert-sr-test-98404-tacoma · us-medde-f55ca706ab82eceaff09428c1616e4e9b43f0123 · us-medpa-2a4b55f40c93c03f6f863e24ef927edc085ca5b6 · us-medpa-b221ab1e4297dd72663829807ec86b3b3eba859cFor experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| Out of State, Out of State | United States | |
| United States | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |
| United States | Department of Human Services | - | - |
| United States | OIG, Pennsylvania Department of Human services | - | - |
| Franklin, PA | United States |
| (WA), (WA) | United States |