Eustace, Timothy James

Eustace, Timothy James is an sole proprietor health care provider with primary practice located at 106 W Pleasant Ave , Maywood NJ 07607-1336. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Eustace, Timothy James can be contacted via phone (201) 843-3111.

Contact Information

Primary practice address
106 W Pleasant Ave Maywood NJ 07607-1336
Phone: (201) 843-3111
Fax: (201) 843-3111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3015 New Jersey

Profile Details

NPI number 1942254156
LBN Legal business name Eustace, Timothy James
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2006
Last updated Aug 27th, 2019 - about 6 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 1942254156 NPPES
New Jersey MEDICAID 2011000

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