Bollinger, Timothy L
Bollinger, Timothy L is an individual health care provider with primary practice located at 3922 Mercy Dr , Mchenry IL 60050-3179. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bollinger, Timothy L can be contacted via phone (815) 578-2020.Contact Information
Primary practice address
3922 Mercy Dr
Mchenry IL 60050-3179
Phone: (815) 578-2020
Fax: (815) 344-4779
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036106882 | Illinois |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 52526-21 | Wisconsin |
Profile Details
NPI number | 1629013313 |
---|---|
LBN Legal business name | Bollinger, Timothy L |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2006 |
Last updated | Oct 21st, 2013 - about 11 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 | 1629013313 | NPPES |
Wisconsin | Other | BOLLITIM | MERCYCARE INSURANCE |
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