Baardseth, Timothy Paul

Baardseth, Timothy Paul is an sole proprietor health care provider with primary practice located at 752 N High Point Rd , Madison WI 53717-2236. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Baardseth, Timothy Paul can be contacted via phone (608) 824-4000.

Contact Information

Primary practice address
752 N High Point Rd Madison WI 53717-2236
Fax: (608) 824-4938
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1104169218
LBN Legal business name Baardseth, Timothy Paul
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2013
Last updated Jan 13th, 2022 - about 3 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 1104169218 NPPES
Wisconsin MEDICAID 1104169218

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