O'Donnell, Timothy Patrick

O'Donnell, Timothy Patrick is an individual health care provider with primary practice located at 3600 Kolbe Rd Ste 205 , Lorain OH 44053. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. O'Donnell, Timothy Patrick can be contacted via phone (440) 960-6431.

Contact Information

Primary practice address
3600 Kolbe Rd Ste 205 Lorain OH 44053
Phone: (440) 960-6431
Fax: (440) 960-6435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35082804 Ohio
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 35082804 Ohio

Profile Details

NPI number 1760485510
LBN Legal business name O'Donnell, Timothy Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Oct 7th, 2019 - about 6 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 1760485510 NPPES
Ohio MEDICAID 2435958

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