Erickson, Timothy James

Erickson, Timothy James is an individual health care provider with primary practice located at 3108 S Route 59 Ste 124 , Naperville IL 60564-7804. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Erickson, Timothy James can be contacted via phone (630) 983-1805.

Contact Information

Primary practice address
3108 S Route 59 Ste 124 Naperville IL 60564-7804
Phone: (630) 983-1805
Fax: (630) 983-1845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038010212 Illinois

Profile Details

NPI number 1891788675
LBN Legal business name Erickson, Timothy James
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Jul 26th, 2021 - about 5 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 1891788675 NPPES
Illinois MEDICAID 038010212
Illinois Other 9932254

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