Individual
DR. JAY TIMOTHY AMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 E PORTER AVE STE 5, CHESTERTON, IN 46304-9111
(219) 767-4858
(219) 406-8129
Mailing address
951 TRANSPORT DR, VALPARAISO, IN 46383-8434
(219) 462-7173
(219) 465-9502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01035822
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200057750A
—
IN
Enumeration date
10/17/2005
Last updated
11/25/2020
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