Coblentz, Timothy R
Coblentz, Timothy R is an individual health care provider with primary practice located at 2600 Tuscarawas St W Suite 400, Canton OH 44708-4644. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Coblentz, Timothy R can be contacted via phone (330) 458-2000.Contact Information
Primary practice address
2600 Tuscarawas St W Suite 400
Canton OH 44708-4644
Phone: (330) 458-2000
Fax: (330) 458-2010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 35082161C | Ohio |
Profile Details
| NPI number | 1215964069 |
|---|---|
| LBN Legal business name | Coblentz, Timothy R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Jun 9th, 2024 - about last year |
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 | 1215964069 | NPPES |
| Ohio | MEDICAID | 2394181 |
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