Provider Demographics
NPI:1225890551
Name:PARKER, TIMOTHY LEON JR
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:LEON
Last Name:PARKER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 TULIP ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44301-1960
Mailing Address - Country:US
Mailing Address - Phone:330-949-4261
Mailing Address - Fax:
Practice Address - Street 1:1219 TULIP ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44301-1960
Practice Address - Country:US
Practice Address - Phone:330-949-4261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide