Koberna, Timothy Robert

Koberna, Timothy Robert is an sole proprietor health care provider with primary practice located at 222 Fairbanks Ave Dept. Of Kinesiology Hope College, Holland MI 49423-3735. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Koberna, Timothy Robert can be contacted via phone (616) 395-7705.

Contact Information

Primary practice address
222 Fairbanks Ave Dept. Of Kinesiology Hope College Holland MI 49423-3735
Phone: (616) 395-7705
Fax: (616) 395-7087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2601001150 Michigan

Profile Details

NPI number 1750407359
LBN Legal business name Koberna, Timothy Robert
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Jan 20th, 2015 - about 11 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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