Timothy M Hickey Llc

NPI 1063505956 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1063505956
Enumeration Date 10/02/2006
Last Updated 06/07/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TIMOTHY MICHAEL TIMOTHY
Position OWNER
Phone (419) 690-8273
Fax (419) 690-8308
Practice Location
2735 NAVARRE AVE
SUITE 102
OREGON OH, 43616-3275, US
Phone (419) 690-8273
Fax (419) 690-8308
Business Location
2735 NAVARRE AVE
SUITE 102
OREGON OH, 43616-3275, US
Phone (419) 690-8273
Fax (419) 690-8308
Toxanomy
Taxonomy Code 2084N0400X
License State Ohio
License Number 35083960M
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According to our database, Timothy M Hickey Llc NPI is 1063505956, taxonomy code is 2084N0400X and license number is 35083960M, license state is located at Ohio. Timothy M Hickey Llc physically located at 2735 Navarre Ave, Oregon OH, 43616-3275. NPI Number 1033115704 has the healthcare provider type.

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1063505956 NPI number is provided on an as is basis without warranty of any kind. 1063505956 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy M Hickey Llc are for informational purposes only.