Buhrt, Timothy R.

Buhrt, Timothy R. is an individual health care provider with primary practice located at 1120 E Main St Ste 201 , St Charles IL 60174-2287. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Buhrt, Timothy R. can be contacted via phone (630) 377-6613.

Contact Information

Primary practice address
1120 E Main St Ste 201 St Charles IL 60174-2287
Fax: (630) 377-6225
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071005828 Illinois

Profile Details

NPI number 1063408250
LBN Legal business name Buhrt, Timothy R.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Mar 4th, 2024 - about 8 months 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 1063408250 NPPES
Illinois Other 364333972 TAX IDENTIFICATION NUMBER

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