Madeker, Timberlee B

Madeker, Timberlee B is an individual health care provider with primary practice located at 10 Woodlake Trl Ste C , Mount Vernon OH 43050-9573. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Madeker, Timberlee B can be contacted via phone (740) 392-7337.

Contact Information

Primary practice address
10 Woodlake Trl Ste C Mount Vernon OH 43050-9573
Phone: (740) 392-7337
Fax: (740) 392-7333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN.CNP.10127 Ohio

Profile Details

NPI number 1427214162
LBN Legal business name Madeker, Timberlee B
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2008
Last updated Mar 16th, 2022 - about 4 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 1427214162 NPPES
Ohio MEDICAID 2943382

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