Baron, Timothy Dale
Baron, Timothy Dale is an sole proprietor health care provider with primary practice located at 104 E Summit Ave , Wales WI 53183-9724. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Baron, Timothy Dale can be contacted via phone (262) 968-5212.Contact Information
Primary practice address
104 E Summit Ave
Wales WI 53183-9724
Phone: (262) 968-5212
Fax: (262) 968-5214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2526 | Wisconsin |
Profile Details
| NPI number | 1497702468 |
|---|---|
| LBN Legal business name | Baron, Timothy Dale |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2006 |
| Last updated | Aug 2nd, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497702468 | NPPES |
| Wisconsin | Other | 391673814011 | BLUE CROSS |
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