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Provider Information for 1740584630


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Mr. STEVEN M TIMMS P.C.


Sex: Male

NPI: 1740584630
Last Updated: 2011-01-06
Certification Date:

Details

NameValue
NPI1740584630
Enumeration Date2011-01-06
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 123 22ND ST
TOLEDO, OH 43604-2706
United States

Phone: 419-241-6191 | Fax:419-255-5623
 
Primary Practice Address 4334 SECOR RD
TOLEDO, OH 43623-4234
United States

Phone: 419-475-4449 | Fax:419-479-3833
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalOHC.0900124