Vyrostek, Timothy B

Vyrostek, Timothy B is an individual health care provider with primary practice located at 10633 State Highway 18 , Conneaut Lake PA 16316-3225. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Sports Physician is his primary health care specialty. Vyrostek, Timothy B can be contacted via phone (814) 382-1970.

Contact Information

Primary practice address
10633 State Highway 18 Conneaut Lake PA 16316-3225
Phone: (814) 382-1970
Fax: (814) 382-3619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC007097L Pennsylvania
Chiropractic Providers / Sports Physician 111NS0005X 4038 Pennsylvania

Profile Details

NPI number 1003929308
LBN Legal business name Vyrostek, Timothy B
Credentials DC CCSP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated May 3rd, 2023 - about last year

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 1003929308 NPPES
Pennsylvania MEDICAID 0016549110004
Pennsylvania Other 961159
Pennsylvania Other 205055

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