Provider Demographics
NPI:1114170156
Name:VOS, TIMOTHY DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:DAVID
Last Name:VOS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55307-4587
Mailing Address - Country:US
Mailing Address - Phone:952-261-9967
Mailing Address - Fax:
Practice Address - Street 1:241 W MAIN ST
Practice Address - Street 2:BOX 84
Practice Address - City:ARLINGTON
Practice Address - State:MN
Practice Address - Zip Code:55307-9700
Practice Address - Country:US
Practice Address - Phone:507-964-2850
Practice Address - Fax:507-964-2262
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5148111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor