Caufield, Timothy George

Caufield, Timothy George is an sole proprietor health care provider with primary practice located at 209 N Dodge St , Burlington WI 53105-1920. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Caufield, Timothy George can be contacted via phone (262) 767-8667.

Contact Information

Primary practice address
209 N Dodge St Burlington WI 53105-1920
Phone: (262) 767-8667
Fax: (262) 767-8798
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1329057 Wisconsin

Profile Details

NPI number 1194783647
LBN Legal business name Caufield, Timothy George
Credentials PSCYHOLOGIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Oct 1st, 2014 - about 11 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 1194783647 NPPES
Wisconsin MEDICAID 39076700
Wisconsin Other 1329057

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