Bjelland, Timothy Dean
Bjelland, Timothy Dean is an individual health care provider with primary practice located at 1040 Division St , Mauston WI 53948-1931. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bjelland, Timothy Dean can be contacted via phone (608) 847-5000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 31519 | Wisconsin |
Profile Details
| NPI number | 1811984305 |
|---|---|
| LBN Legal business name | Bjelland, Timothy Dean |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years 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 | 1811984305 | NPPES |
| Wisconsin | MEDICAID | 31624400 |
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