Berger, Timothy Stephan
Berger, Timothy Stephan is an sole proprietor health care provider with primary practice located at 1620 Saint Joe River Dr , Fort Wayne IN 46805-1434. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Berger, Timothy Stephan can be contacted via phone (260) 482-4202.Contact Information
Primary practice address
1620 Saint Joe River Dr
Fort Wayne IN 46805-1434
Phone: (260) 482-4202
Fax: (260) 482-5232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12008676 | Indiana |
Profile Details
| NPI number | 1790725489 |
|---|---|
| LBN Legal business name | Berger, Timothy Stephan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
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