Duckett, Timothy George

Duckett, Timothy George is an individual health care provider with primary practice located at 999 Illinois Ave , Maumee OH 43537-1715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Duckett, Timothy George can be contacted via phone (419) 893-5591.

Contact Information

Primary practice address
999 Illinois Ave Maumee OH 43537-1715
Phone: (419) 893-5591
Fax: (419) 893-0162
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35060405 Ohio

Profile Details

NPI number 1902880602
LBN Legal business name Duckett, Timothy George
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Jun 9th, 2010 - about 14 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 1902880602 NPPES
Ohio MEDICAID 0991306

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