Batdorf, Timothy

Batdorf, Timothy is an sole proprietor health care provider with primary practice located at 13 Park Ave W Suite 300, Mansfield OH 44902-1714. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Batdorf, Timothy can be contacted via phone (419) 522-5015.

Contact Information

Primary practice address
13 Park Ave W Suite 300 Mansfield OH 44902-1714
Fax:
Website:

Health care specialties

Profile Details

NPI number 1669800959
LBN Legal business name Batdorf, Timothy
Credentials LICDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2013
Last updated Oct 23rd, 2013 - about 12 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 1669800959 NPPES
Ohio MEDICAID 13190

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