Eaton, Timothy Trell

Eaton, Timothy Trell is an sole proprietor health care provider with primary practice located at 1705 4Th Ave Nw , Minot ND 58703-2912. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Eaton, Timothy Trell can be contacted via phone (701) 839-0474.

Contact Information

Primary practice address
1705 4Th Ave Nw Minot ND 58703-2912
Phone: (701) 839-0474
Fax: (701) 839-0713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 190 North Dakota

Profile Details

NPI number 1083710800
LBN Legal business name Eaton, Timothy Trell
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083710800 NPPES
North Dakota MEDICAID 16943
North Dakota Other 5297
North Dakota Other 90688

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