Mcknight, Timothy J
Mcknight, Timothy J is an sole proprietor health care provider with primary practice located at 14519 Detroit Ave , Lakewood OH 44107-4316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mcknight, Timothy J can be contacted via phone (216) 521-4200.Contact Information
Primary practice address
14519 Detroit Ave
Lakewood OH 44107-4316
Phone: (216) 521-4200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35-075112 | Ohio |
Profile Details
| NPI number | 1063495406 |
|---|---|
| LBN Legal business name | Mcknight, Timothy J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Jul 8th, 2011 - about 15 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 | 1063495406 | NPPES |
| Ohio | Other | 000000133809 | ANTHEM |
| Ohio | MEDICAID | 2129413 | ANTHEM |
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