Desiato, Timothy Paul
Desiato, Timothy Paul is an individual health care provider with primary practice located at 1716 N Cross St , Dover OH 44622-1043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Desiato, Timothy Paul can be contacted via phone (330) 364-8868.Contact Information
Primary practice address
1716 N Cross St
Dover OH 44622-1043
Phone: (330) 364-8868
Fax: (330) 364-4732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35-04-7565 | Ohio |
Profile Details
| NPI number | 1396726618 |
|---|---|
| LBN Legal business name | Desiato, Timothy Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | May 21st, 2012 - about 13 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 | 1396726618 | NPPES |
| Ohio | MEDICAID | 0661449 |
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