Harper, Timothy Allen
Harper, Timothy Allen is an sole proprietor health care provider with primary practice located at 333 N Peters Ave , Fond Du Lac WI 54935-8257. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Harper, Timothy Allen can be contacted via phone (920) 922-7720.Contact Information
Primary practice address
333 N Peters Ave
Fond Du Lac WI 54935-8257
Phone: (920) 922-7720
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3345 | Wisconsin |
Profile Details
| NPI number | 1609076678 |
|---|---|
| LBN Legal business name | Harper, Timothy Allen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2007 |
| Last updated | Jul 18th, 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 | 1609076678 | NPPES |
| Wisconsin | MEDICAID | 33469100 |
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