| J. Timothy Ames, Md Pc | |
|
751 E Porter Ave Ste 5 Chesterton IN 46304-9111 | |
| (219) 767-4858 | |
| (219) 413-9682 |
| Full Name | J. Timothy Ames, Md Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 751 E Porter Ave Ste 5, Chesterton, Indiana |
| Authorized Official Name and Position | Jay Timothy Ames (OWNER) |
| Authorized Official Contact | 2197674858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Timothy Ames, Md Pc 751 E Porter Ave Ste 5 Chesterton IN 46304-9111 Ph: (219) 767-4858 | J. Timothy Ames, Md Pc 751 E Porter Ave Ste 5 Chesterton IN 46304-9111 Ph: (219) 767-4858 |
| NPI Number | 1811550601 |
|---|---|
| Provider Enumeration Date | 04/17/2019 |
| Last Update Date | 04/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811550601 | NPI | - | NPPES |
| 200057750A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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