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:
Health care specialties
| Specialty | Code | License # | 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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