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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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