Dunagan, Timothy L
Dunagan, Timothy L is an sole proprietor health care provider with primary practice located at 620 N Custer Ave , Grand Island NE 68803-4375. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Dunagan, Timothy L can be contacted via phone (308) 381-1312.Contact Information
Primary practice address
620 N Custer Ave
Grand Island NE 68803-4375
Phone: (308) 381-1312
Fax: (308) 381-6365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 638 | Nebraska |
Profile Details
| NPI number | 1336128974 |
|---|---|
| LBN Legal business name | Dunagan, Timothy L |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2006 |
| Last updated | May 15th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336128974 | NPPES |
| Nebraska | MEDICAID | 470638861-00 | |
| Nebraska | Other | 009513 |
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