Brouder, Timothy Joseph

Brouder, Timothy Joseph is an sole proprietor health care provider with primary practice located at 207 S Emerson St , Mt Prospect IL 60056-3259. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brouder, Timothy Joseph can be contacted via phone (847) 577-0199.

Contact Information

Primary practice address
207 S Emerson St Mt Prospect IL 60056-3259
Phone: (847) 577-0199
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1790824167
LBN Legal business name Brouder, Timothy Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - about 17 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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