Theobald, Timothy
Theobald, Timothy is an individual health care provider with primary practice located at 2127 Green Bay Rd , North Chicago IL 60064-2801. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Theobald, Timothy can be contacted via phone (847) 336-8478.Contact Information
Primary practice address
2127 Green Bay Rd
North Chicago IL 60064-2801
Phone: (847) 336-8478
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019.030011 | Illinois |
Profile Details
| NPI number | 1497156731 |
|---|---|
| LBN Legal business name | Theobald, Timothy |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2014 |
| Last updated | Sep 5th, 2014 - about 11 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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