Provider Demographics
NPI:1649024985
Name:GETZ, TIMOTHY DOUGLAS (BS)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:DOUGLAS
Last Name:GETZ
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 BAUMGARDNER AVE
Mailing Address - Street 2:
Mailing Address - City:WINDBER
Mailing Address - State:PA
Mailing Address - Zip Code:15963-2405
Mailing Address - Country:US
Mailing Address - Phone:412-997-5460
Mailing Address - Fax:
Practice Address - Street 1:1425 SCALP AVE
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-3328
Practice Address - Country:US
Practice Address - Phone:814-269-4812
Practice Address - Fax:814-269-4800
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator