Kistler, Timothy Dean

Kistler, Timothy Dean is an sole proprietor health care provider with primary practice located at 614 W Lytle St , Fostoria OH 44830-3422. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Kistler, Timothy Dean can be contacted via phone (419) 435-3554.

Contact Information

Primary practice address
614 W Lytle St Fostoria OH 44830-3422
Phone: (419) 435-3554
Fax: (419) 436-1994
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 36-00-3099-K Ohio
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 36003099 Ohio

Profile Details

NPI number 1700863412
LBN Legal business name Kistler, Timothy Dean
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 23rd, 2005
Last updated Jul 3rd, 2008 - about 16 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 1700863412 NPPES
Ohio Other 480026415 MEDICARE RR
Ohio MEDICAID 2092239 MEDICARE RR

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