Phelan, Timothy Patrick
Phelan, Timothy Patrick is an individual health care provider with primary practice located at 4235 Secor Rd , Toledo OH 43623-4231. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Phelan, Timothy Patrick can be contacted via phone (419) 479-5690.Contact Information
Primary practice address
4235 Secor Rd
Toledo OH 43623-4231
Phone: (419) 479-5690
Fax: (419) 479-5700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35130966 | Ohio |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 35130966 | Ohio |
Profile Details
| NPI number | 1134388473 |
|---|---|
| LBN Legal business name | Phelan, Timothy Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2008 |
| Last updated | Nov 17th, 2023 - about 3 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 | 1134388473 | NPPES |
| Maryland | MEDICAID | 221109200 | |
| Maryland | Other | S062-0430 | |
| Maryland | Other | 974410-01 |
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