Provider Demographics
NPI:1235929373
Name:BABIUCH, TIMOTHY ALEXANDER
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:ALEXANDER
Last Name:BABIUCH
Suffix:
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 1:1272 KIRK ST
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-3248
Mailing Address - Country:US
Mailing Address - Phone:567-277-8243
Mailing Address - Fax:
Practice Address - Street 1:517 ROCHELLE RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-4927
Practice Address - Country:US
Practice Address - Phone:419-867-8244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No172A00000XOther Service ProvidersDriver