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Individual
TIMOTHY JOHN MAKATCHE
Active
Individual
TIMOTHY JOHN MAKATCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS005190L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000143853
UNISON AB
PA
05
—
0019296480001
—
PA
01
—
0039
AETNA
PA
01
—
01148101
CAPITAL BLUE CROSS
PA
01
—
080025913
PALMETTO RR MEDICARE
PA
01
—
100278B
AMERIHEALTH MERCY
PA
01
—
410647
HIGHMARK BLUE SHIELD
PA
01
—
P3171383
OXFORD HEALTH PLAN
PA
Enumeration date
04/20/2006
Last updated
12/19/2018
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