Baum, Timothy Thomas
Baum, Timothy Thomas is an sole proprietor health care provider with primary practice located at 2049 W Prospect Rd , Ashtabula OH 44004-6437. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Baum, Timothy Thomas can be contacted via phone (440) 992-4877.Contact Information
Primary practice address
2049 W Prospect Rd
Ashtabula OH 44004-6437
Phone: (440) 992-4877
Fax: (801) 459-8867
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 1996-SC | Ohio |
Profile Details
| NPI number | 1942355375 |
|---|---|
| LBN Legal business name | Baum, Timothy Thomas |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Jul 7th, 2008 - about 17 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 | 1942355375 | NPPES |
| Ohio | Other | 341707982-001 | MEDICAL MUTUAL OHIO |
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