Wood, Timothy Clifton

Wood, Timothy Clifton is an sole proprietor health care provider with primary practice located at 480 Glessner Ave , Mansfield OH 44903-2056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Wood, Timothy Clifton can be contacted via phone (419) 526-2600.

Contact Information

Primary practice address
480 Glessner Ave Mansfield OH 44903-2056
Phone: (419) 526-2600
Fax: (419) 526-2032
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35074869W Ohio
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 42777 Colorado

Profile Details

NPI number 1205814712
LBN Legal business name Wood, Timothy Clifton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2006
Last updated Oct 19th, 2007 - about 17 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 1205814712 NPPES
Other 000000141528 ANTHEM

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