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Contact Information

TIMOTHY HAITZ
721 RESERVOIR AVE
CRANSTON, RI02910-4430
 Phone: 401-946-4250
 Fax: 401-275-5645
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for TIMOTHY HAITZ · (Male)

NPI # 1922417542
Status Active
Credentials
Entity Individual
Enumeration date 08/07/2014
Last updated 02/11/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • RI License # 2707
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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