Page, Timothy Lee

Page, Timothy Lee is an sole proprietor health care provider with primary practice located at 476-1/2 E.Chubbuck Rd. , Chubbuck ID 83202. He recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as his primary health care specialty. Page, Timothy Lee can be contacted via phone (208) 478-7243.

Contact Information

Primary practice address
476-1/2 E.Chubbuck Rd. Chubbuck ID 83202
Phone: (208) 478-7243
Fax: (208) 237-0712
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Nutrition 111NN1001X CHIA-974 Idaho

Profile Details

NPI number 1992706741
LBN Legal business name Page, Timothy Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2005
Last updated Jul 5th, 2011 - about 13 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 1992706741 NPPES
Idaho Other 350055267 RAILROAD MEDICARE

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