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:
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Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629013313 NPPES
Wisconsin Other BOLLITIM MERCYCARE INSURANCE

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