Duble, Timothy B

Duble, Timothy B is an individual health care provider with primary practice located at 1230 N Meridian Rd Suite B, Youngstown OH 44509-1019. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Duble, Timothy B can be contacted via phone (330) 793-9500.

Contact Information

Primary practice address
1230 N Meridian Rd Suite B Youngstown OH 44509-1019
Phone: (330) 793-9500
Fax: (330) 793-9512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-09661 Ohio

Profile Details

NPI number 1063401479
LBN Legal business name Duble, Timothy B
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jul 17th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063401479 NPPES
Ohio MEDICAID 0222253

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