Wourms, Timothy Nicholas
Wourms, Timothy Nicholas is an sole proprietor health care provider with primary practice located at 1010 Summit Dr , Middletown OH 45042-2926. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wourms, Timothy Nicholas can be contacted via phone (513) 424-0122.Contact Information
Primary practice address
1010 Summit Dr
Middletown OH 45042-2926
Phone: (513) 424-0122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35071942 | Ohio |
Profile Details
| NPI number | 1558447573 |
|---|---|
| LBN Legal business name | Wourms, Timothy Nicholas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Nov 12th, 2020 - about 4 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 | 1558447573 | NPPES |
| Ohio | MEDICAID | 2069292 |
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