Bjornson, Timothy James

Bjornson, Timothy James is an individual health care provider with primary practice located at 921 2Nd Ave S , Fargo ND 58103-1705. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Driver, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Bjornson, Timothy James can be contacted via phone (701) 212-8626.

Contact Information

Primary practice address
921 2Nd Ave S Fargo ND 58103-1705
Phone: (701) 212-8626
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X
Other Service Providers / Peer Specialist 175T00000X 00000 North Dakota

Profile Details

NPI number 1548907785
LBN Legal business name Bjornson, Timothy James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2022
Last updated May 18th, 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 1548907785 NPPES
North Dakota MEDICAID 175T00000X

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