Mcbride, Timothy M
Mcbride, Timothy M is an individual health care provider with primary practice located at 336 Harbor View Dr , Fond Du Lac WI 54935. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Mcbride, Timothy M can be contacted via phone (920) 922-9400.Contact Information
Primary practice address
336 Harbor View Dr
Fond Du Lac WI 54935
Phone: (920) 922-9400
Fax: (920) 921-3260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | 3702 | Wisconsin |
Profile Details
| NPI number | 1801907076 |
|---|---|
| LBN Legal business name | Mcbride, Timothy M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 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 | 1801907076 | NPPES |
| Wisconsin | MEDICAID | 33490200 |
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