Bohlender, Timothy Dean
Bohlender, Timothy Dean is an individual health care provider with primary practice located at 501 S. Burma Ave. , Gillette WY 82716-3246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bohlender, Timothy Dean can be contacted via phone (307) 688-9255.Contact Information
Primary practice address
501 S. Burma Ave.
Gillette WY 82716-3246
Phone: (307) 688-9255
Fax: (307) 688-7920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 8888A | Wyoming |
Profile Details
| NPI number | 1427151778 |
|---|---|
| LBN Legal business name | Bohlender, Timothy Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Dec 29th, 2020 - about 5 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 | 1427151778 | NPPES |
| Colorado | MEDICAID | 01277557 |
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