Berger, Timothy Stephan

Berger, Timothy Stephan is an sole proprietor health care provider with primary practice located at 1620 Saint Joe River Dr , Fort Wayne IN 46805-1434. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Berger, Timothy Stephan can be contacted via phone (260) 482-4202.

Contact Information

Primary practice address
1620 Saint Joe River Dr Fort Wayne IN 46805-1434
Fax: (260) 482-5232
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12008676 Indiana

Profile Details

NPI number 1790725489
LBN Legal business name Berger, Timothy Stephan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Jul 8th, 2007 - about 18 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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