Maccart, Timothy Daniel
Maccart, Timothy Daniel is an individual health care provider with primary practice located at 2814 Woodcliff Cir Se , East Grand Rapids MI 49506-3155. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Maccart, Timothy Daniel can be contacted via phone (406) 749-0238.Contact Information
Primary practice address
2814 Woodcliff Cir Se
East Grand Rapids MI 49506-3155
Phone: (406) 749-0238
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | 1518488287 | Michigan |
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | 1518488287 | Michigan |
Profile Details
| NPI number | 1518488287 |
|---|---|
| LBN Legal business name | Maccart, Timothy Daniel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2017 |
| Last updated | Nov 25th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518488287 | NPPES |
| Michigan | MEDICAID | 1518488287 |
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