Bopp, Timothy J

Bopp, Timothy J is an individual health care provider with primary practice located at 310 N 9Th St , Bismarck ND 58501-4508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bopp, Timothy J can be contacted via phone (701) 530-8800.

Contact Information

Primary practice address
310 N 9Th St Bismarck ND 58501-4508
Phone: (701) 530-8800
Fax: (701) 583-0876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 6578 North Dakota

Profile Details

NPI number 1124046016
LBN Legal business name Bopp, Timothy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124046016 NPPES
South Dakota Other 7765290 SD MEDICAID
South Dakota MEDICAID 17507 SD MEDICAID

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