Chapman, Timothy F

Chapman, Timothy F is an sole proprietor health care provider with primary practice located at 2101 Riverside Dr , Beloit WI 53511-2932. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Chapman, Timothy F can be contacted via phone (608) 365-4006.

Contact Information

Primary practice address
2101 Riverside Dr Beloit WI 53511-2932
Phone: (608) 365-4006
Fax: (608) 365-4870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5002032 Wisconsin
Dental Providers / General Practice 1223G0001X 5002032 Wisconsin

Profile Details

NPI number 1417120379
LBN Legal business name Chapman, Timothy F
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2008
Last updated Apr 10th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417120379 NPPES
Wisconsin MEDICAID 33368700

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