Heronemus, Timothy D

Heronemus, Timothy D is an individual health care provider with primary practice located at 600 Caisson Hill Rd , Fort Riley KS 66442-7037. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Heronemus, Timothy D can be contacted via phone (785) 239-7208.

Contact Information

Primary practice address
600 Caisson Hill Rd Fort Riley KS 66442-7037
Fax: (785) 239-7364
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1285 Kansas

Profile Details

NPI number 1932349073
LBN Legal business name Heronemus, Timothy D
Credentials LCSCW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2009
Last updated Mar 3rd, 2009 - about 15 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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