Warren, Timothy Dale

Warren, Timothy Dale is an sole proprietor health care provider with primary practice located at 1415 W 31St St S , Wichita KS 67217-2536. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Warren, Timothy Dale can be contacted via phone (316) 529-3700.

Contact Information

Primary practice address
1415 W 31St St S Wichita KS 67217-2536
Phone: (316) 529-3700
Fax: (316) 529-0200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X
Chiropractic Providers / Chiropractor 111N00000X 01-04242 Kansas

Profile Details

NPI number 1386732337
LBN Legal business name Warren, Timothy Dale
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated Mar 25th, 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 1386732337 NPPES
Kansas Other 59941 BLUE CROSS BLUE SHIELD

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