Grondin, Timothy
Grondin, Timothy is an individual health care provider with primary practice located at 1831 Pine Grove Ave , Port Huron MI 48060-3120. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Grondin, Timothy can be contacted via phone (810) 984-3344.Contact Information
Primary practice address
1831 Pine Grove Ave
Port Huron MI 48060-3120
Phone: (810) 984-3344
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2301006814 | Michigan |
Profile Details
| NPI number | 1023067618 |
|---|---|
| LBN Legal business name | Grondin, Timothy |
| Credentials | CHIROPRACTOR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1023067618 | NPPES |
| Michigan | Other | 950G45010 | BC/BS PROVIDER NUMBER |
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