Price, Timothy Ray

Price, Timothy Ray is an individual health care provider with primary practice located at 815 N Larkin Ave Suite 207, Joliet IL 60435-3438. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Prosthetics Case Management, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Other Service Providers / Prosthetics Case Management is his primary health care specialty. Price, Timothy Ray can be contacted via phone (815) 207-4200.

Contact Information

Primary practice address
815 N Larkin Ave Suite 207 Joliet IL 60435-3438
Phone: (815) 207-4200
Fax: (815) 207-4200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X 211-000025 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X 213-000028 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X 211-000025 Illinois

Profile Details

NPI number 1487851283
LBN Legal business name Price, Timothy Ray
Credentials CPO
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated Jul 10th, 2008 - about 16 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 1487851283 NPPES
Illinois MEDICAID XX-XXX1669

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