Provider Demographics
NPI:1073830766
Name:LEVAR, TIMOTHY JASON (DPM)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:JASON
Last Name:LEVAR
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:34600 CHARDON RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:WILLOUGHBY HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44094-8480
Mailing Address - Country:US
Mailing Address - Phone:440-585-5258
Mailing Address - Fax:440-944-5278
Practice Address - Street 1:34600 CHARDON RD
Practice Address - Street 2:SUITE 9
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44094-8480
Practice Address - Country:US
Practice Address - Phone:440-585-5258
Practice Address - Fax:440-944-5278
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-21
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH003672213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery