Individual
DR. TIMOTHY JAMES ASHWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7601 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4133
(260) 436-8686
(260) 436-8585
Mailing address
PO BOX 2526, FORT WAYN, IN 46801-2526
(260) 436-8686
(260) 436-8585
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01086295A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300052790
—
IN
Enumeration date
05/14/2015
Last updated
09/03/2021
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