Sidor, Tim A
Sidor, Tim A is an individual health care provider with primary practice located at 6900 Pearl Road 2Nd Floor, Middleburg Heights OH 44130-3639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Sidor, Tim A can be contacted via phone (440) 845-0900.Contact Information
Primary practice address
6900 Pearl Road 2Nd Floor
Middleburg Heights OH 44130-3639
Phone: (440) 845-0900
Fax: (440) 845-7355
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 35041262S | Ohio |
Profile Details
NPI number | 1154399483 |
---|---|
LBN Legal business name | Sidor, Tim A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 11th, 2006 |
Last updated | Apr 13th, 2012 - about 12 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 | 1154399483 | NPPES |
Ohio | MEDICAID | 0489467 |
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