Munderloh, Timothy James

Munderloh, Timothy James is an individual health care provider with primary practice located at 1500 E Cedar Ave Ste 80, Flagstaff AZ 86004. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Neurology. Chiropractic Providers / Chiropractor is his primary health care specialty. Munderloh, Timothy James can be contacted via phone (928) 556-0707.

Contact Information

Primary practice address
1500 E Cedar Ave Ste 80 Flagstaff AZ 86004
Phone: (928) 556-0707
Fax: (928) 522-8462
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 5935 Arizona
Chiropractic Providers / Neurology 111NN0400X 1058 Arizona

Profile Details

NPI number 1104883164
LBN Legal business name Munderloh, Timothy James
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 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 1104883164 NPPES
Arizona Other AZ0941160 BCBS
Arizona Other 624131 BCBS

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