Timothy James Moder SAC-IT

  • NPI 1437332319
According to our database, the NPI number for Timothy James Moder SAC-IT is 1437332319 and activated since 16 years ago. Timothy James Moder SAC-IT is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 1507 Tower Ave, Superior, WI 54880. You can also contact Timothy James Moder SAC-IT via telephone number is (715) 392-9300. Provider NPI information was last updated on 12/13/2007.

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Overview of Timothy James Moder SAC-IT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 12/13/2007
  • Last updated: 12/13/2007

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 14242-130
  • License State: WI

Provider Mailing Address

  • Address: 1115 Lincoln St
    Superior, WI 54880
  • Phone: 218-940-3518
  • Fax:

Provider Practice Location

  • Address: 1507 Tower Ave
    # 307
    Superior, WI 54880
  • Phone: 715-392-9300
  • Fax: 715-392-8041

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 14242-130
  • License State: WI
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Timothy James Moder SAC-IT?
  • A: The npi number for Timothy James Moder SAC-IT is 1437332319.
  • Q: What are Timothy James Moder SAC-IT's specialties?
  • A: Timothy James Moder SAC-IT's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Timothy James Moder SAC-IT?
  • A: The medical license number for Timothy James Moder SAC-IT is 14242-130 and issued in WI in USA.
  • Q: Where is Timothy James Moder SAC-IT practice location?
  • A: Timothy James Moder SAC-IT is practicing at 1507 Tower Ave, Superior, WI 54880.
  • Q: How to contact Timothy James Moder SAC-IT?
  • A: You can contact Timothy James Moder SAC-IT via 715-392-9300.