Donatelli, Timothy John
Donatelli, Timothy John is an individual health care provider with primary practice located at 401 Rogers St , Princeton WV 24740-3636. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Donatelli, Timothy John can be contacted via phone (304) 487-9442.Contact Information
Primary practice address
401 Rogers St
Princeton WV 24740-3636
Phone: (304) 487-9442
Fax: (304) 431-3558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | WV 00363 | West Virginia |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 0103300831 | Virginia |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 36003209D | Ohio |
Profile Details
| NPI number | 1982667903 |
|---|---|
| LBN Legal business name | Donatelli, Timothy John |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Nov 4th, 2009 - about 15 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 | 1982667903 | NPPES |
| West Virginia | Other | 300175239 | WV WORKERS' COMPENSATION |
| West Virginia | MEDICAID | 2101008000 | WV WORKERS' COMPENSATION |
| West Virginia | Other | 300175239 | WV WORKERS' COMPENSATION |
| West Virginia | Other | P00220975 | WV WORKERS' COMPENSATION |
| West Virginia | Other | 5467800001 | WV WORKERS' COMPENSATION |
| West Virginia | MEDICAID | 010201641 | WV WORKERS' COMPENSATION |
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