Erdle, Timothy V
Erdle, Timothy V is an individual health care provider with primary practice located at 310 Tri State Pkwy Ste 100 , Gurnee IL 60031-5282. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Erdle, Timothy V can be contacted via phone (847) 662-3414.Contact Information
Primary practice address
310 Tri State Pkwy Ste 100
Gurnee IL 60031-5282
Phone: (847) 662-3414
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | DS039810 | Pennsylvania |
| Dental Providers / Periodontics | 1223P0300X | 019030597 | Illinois |
Profile Details
| NPI number | 1962816603 |
|---|---|
| LBN Legal business name | Erdle, Timothy V |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2014 |
| Last updated | Mar 10th, 2023 - about last year |
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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