Organization
ONCALL HEALTH AND AESTHETIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY S MAYNARD APRN (OWNER)
(304) 908-1204
Entity
Organization
Contact information
Practice address
402 C STREET, CEREDO, WV 25507
(304) 908-1204
(304) 908-1224
Mailing address
PO BOX 1251, CEREDO, WV 25507-1251
(304) 453-9195
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/08/2015
Last updated
03/26/2026
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