1124095310 NPI number — TIMOTHY DEEMER LAW SR. DO

Table of content: TIMOTHY DEEMER LAW SR. DO (NPI 1124095310)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124095310 NPI number — TIMOTHY DEEMER LAW SR. DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAW
Provider First Name:
TIMOTHY
Provider Middle Name:
DEEMER
Provider Name Prefix Text:
Provider Name Suffix Text:
SR.
Provider Credential Text:
DO
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124095310
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/19/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
246 PARKS HALL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATHENS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45701
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
740-593-2516
Provider Business Mailing Address Fax Number:
740-593-2905

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
246 PARKS HALL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATHENS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-593-2516
Provider Business Practice Location Address Fax Number:
740-593-2905
Provider Enumeration Date:
03/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  02493 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X , with the licence number: 34006410 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5044438 . This is a "AETNA" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 64024938 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000191820 . This is a "ANTHEM BC BS" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".




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