Bevers, Timothy Donald
Bevers, Timothy Donald is an individual health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449-5703. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bevers, Timothy Donald can be contacted via phone (715) 387-5511.Contact Information
Primary practice address
1000 N Oak Ave
Marshfield WI 54449-5703
Phone: (715) 387-5511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2532 | Wisconsin |
Profile Details
| NPI number | 1700837168 |
|---|---|
| LBN Legal business name | Bevers, Timothy Donald |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jun 25th, 2024 - about 5 months ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700837168 | NPPES |
| Wisconsin | MEDICAID | 38594400 |
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