Love, Timothy Wayne

Love, Timothy Wayne is an individual health care provider with primary practice located at 215 Branchview Dr Ne , Concord NC 28025-3416. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Love, Timothy Wayne can be contacted via phone (704) 784-1711.

Contact Information

Primary practice address
215 Branchview Dr Ne Concord NC 28025-3416
Phone: (704) 784-1711
Fax: (704) 784-9161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1786 North Carolina
Chiropractic Providers / Chiropractor 111N00000X 1384 South Carolina

Profile Details

NPI number 1083619514
LBN Legal business name Love, Timothy Wayne
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Mar 30th, 2017 - about 7 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 1083619514 NPPES
North Carolina MEDICAID 7908220
North Carolina Other 08220
North Carolina Other 2447014D

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