Batdorf, Timothy
Batdorf, Timothy is an sole proprietor health care provider with primary practice located at 13 Park Ave W Suite 300, Mansfield OH 44902-1714. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Batdorf, Timothy can be contacted via phone (419) 522-5015.Contact Information
Primary practice address
13 Park Ave W Suite 300
Mansfield OH 44902-1714
Phone: (419) 522-5015
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 131204 | Ohio |
Profile Details
| NPI number | 1669800959 |
|---|---|
| LBN Legal business name | Batdorf, Timothy |
| Credentials | LICDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2013 |
| Last updated | Oct 23rd, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669800959 | NPPES |
| Ohio | MEDICAID | 13190 |
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