Timberlake, Jodie K

Timberlake, Jodie K is an individual health care provider with primary practice located at 2325 5Th St Bldg 675 , Wright Patterson Afb OH 45433-7505. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Other Service Providers / Military Health Care Provider. Other Service Providers / Military Health Care Provider is her primary health care specialty. Timberlake, Jodie K can be contacted via phone (937) 257-0837.

Contact Information

Primary practice address
2325 5Th St Bldg 675 Wright Patterson Afb OH 45433-7505
Phone: (937) 257-0837
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Other Service Providers / Military Health Care Provider 171000000X 0101257066 Virginia

Profile Details

NPI number 1619219789
LBN Legal business name Timberlake, Jodie K
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2013
Last updated Feb 28th, 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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