Pelfrey, Timothy Maxwell
Pelfrey, Timothy Maxwell is an sole proprietor health care provider with primary practice located at 498 London Ave Suite B, Marysville OH 43040-5512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pelfrey, Timothy Maxwell can be contacted via phone (937) 642-0046.Contact Information
Primary practice address
498 London Ave Suite B
Marysville OH 43040-5512
Phone: (937) 642-0046
Fax: (937) 642-2012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35 . 047727 | Ohio |
Profile Details
| NPI number | 1194732529 |
|---|---|
| LBN Legal business name | Pelfrey, Timothy Maxwell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1194732529 | NPPES |
| Ohio | MEDICAID | 0594763 |
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