Duckett, Timothy George
Duckett, Timothy George is an individual health care provider with primary practice located at 999 Illinois Ave , Maumee OH 43537-1715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Duckett, Timothy George can be contacted via phone (419) 893-5591.Contact Information
Primary practice address
999 Illinois Ave
Maumee OH 43537-1715
Phone: (419) 893-5591
Fax: (419) 893-0162
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35060405 | Ohio |
Profile Details
| NPI number | 1902880602 |
|---|---|
| LBN Legal business name | Duckett, Timothy George |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Jun 9th, 2010 - about 16 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 | 1902880602 | NPPES |
| Ohio | MEDICAID | 0991306 |
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