Individual
TIM ONEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
628 S RIDGE AVE, TROY, OH 45373-3017
(937) 477-5019
Mailing address
628 S RIDGE AVE, TROY, OH 45373-3017
(937) 477-5019
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2485234
—
OH
Enumeration date
12/14/2020
Last updated
12/14/2020
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