Smith, Timothy E

Smith, Timothy E is an sole proprietor health care provider with primary practice located at 2115 West Park Drive , Lorain OH 44053. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Smith, Timothy E can be contacted via phone (440) 989-4987.

Contact Information

Primary practice address
2115 West Park Drive Lorain OH 44053
Phone: (440) 989-4987
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X S0901027 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1528429123
LBN Legal business name Smith, Timothy E
Credentials LSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2016
Last updated Aug 3rd, 2018 - 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 1528429123 NPPES
Ohio Other S0901027 LICENSE

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