Neely, Timothy Richard
Neely, Timothy Richard is an individual health care provider with primary practice located at 510 5Th Ave , Chardon OH 44024-1076. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Neely, Timothy Richard can be contacted via phone (440) 279-1500.Contact Information
Primary practice address
510 5Th Ave
Chardon OH 44024-1076
Phone: (440) 279-1500
Fax: (440) 279-1501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35-010467 | Ohio |
Profile Details
| NPI number | 1861704140 |
|---|---|
| LBN Legal business name | Neely, Timothy Richard |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2010 |
| Last updated | Mar 3rd, 2021 - about 3 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 | 1861704140 | NPPES |
| Ohio | MEDICAID | 0085189 |
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