Organization
J. TIMOTHY AMES, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY TIMOTHY AMES MD (OWNER)
(219) 767-4858
Entity
Organization
Contact information
Practice address
751 E PORTER AVE STE 5, CHESTERTON, IN 46304-9111
(219) 767-4858
(219) 413-9682
Mailing address
751 E PORTER AVE STE 5, CHESTERTON, IN 46304-9111
(219) 767-4858
(219) 413-9682
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200057750A
—
IN
Enumeration date
04/17/2019
Last updated
04/17/2019
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