Smykal, Timothy Lawrence
Smykal, Timothy Lawrence is an sole proprietor health care provider with primary practice located at N96W18743 County Line Rd Suite E, Menomonee Falls WI 53051-7100. He recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician, Chiropractic Providers / Orthopedic. Chiropractic Providers / Chiropractor is his primary health care specialty. Smykal, Timothy Lawrence can be contacted via phone (262) 253-6779.Contact Information
Primary practice address
N96W18743 County Line Rd Suite E
Menomonee Falls WI 53051-7100
Phone: (262) 253-6779
Fax: (262) 253-6849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3243 | Wisconsin |
| Chiropractic Providers / Sports Physician | 111NS0005X | 3243 | Wisconsin |
| Chiropractic Providers / Orthopedic | 111NX0800X | 3243 | Wisconsin |
Profile Details
| NPI number | 1619976263 |
|---|---|
| LBN Legal business name | Smykal, Timothy Lawrence |
| Credentials | DC, FACO, CCSP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2005 |
| Last updated | Apr 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619976263 | NPPES |
| Wisconsin | MEDICAID | 38888200 |
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