Redenbaugh, Timothy William
Redenbaugh, Timothy William is an sole proprietor health care provider with primary practice located at 800 Oneida St Suite B2, Storm Lake IA 50588-3209. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Redenbaugh, Timothy William can be contacted via phone (712) 732-3349.Contact Information
Primary practice address
800 Oneida St Suite B2
Storm Lake IA 50588-3209
Phone: (712) 732-3349
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | A06093 | Iowa |
Profile Details
| NPI number | 1093773780 |
|---|---|
| LBN Legal business name | Redenbaugh, Timothy William |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2006 |
| Last updated | Oct 29th, 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 | 1093773780 | NPPES |
| Iowa | MEDICAID | 0176271 |
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