TIMOTHY JOHN STEPHENS NPI 1053077024

NPI Information

  • NPI: 1053077024
  • Provider Name: TIMOTHY JOHN STEPHENS
  • Classification: Contractor - 171WH0202X
  • Specialization: Home Modifications
  • Entity Type: Individual
  • Address: 22251 169TH ST NW
    BIG LAKE, MN
    ZIP 55309
  • Phone: (612) 710-8451

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NPI Details

Timothy John Stephens is a home modifications contractor in Big Lake, MN. The provider is a contractor who makes modifications to homes to accommodate a health condition. Timothy John Stephens NPI is 1053077024. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

22251 169TH ST NW
BIG LAKE, MN
ZIP 55309-220
Phone: (612) 710-8451

The enumeration date for this NPI number is 11/13/2021 and was last updated on 11/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171WH0202XContractorHome ModificationsBC767187MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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