Chamberlain, Timothy L

Chamberlain, Timothy L is an individual health care provider with primary practice located at 2845 Greenbrier Rd , Green Bay WI 54311-6519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Chamberlain, Timothy L can be contacted via phone (920) 288-4740.

Contact Information

Primary practice address
2845 Greenbrier Rd Green Bay WI 54311-6519
Fax: (920) 288-4737
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 37792 Wisconsin

Profile Details

NPI number 1942235353
LBN Legal business name Chamberlain, Timothy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Dec 9th, 2021 - about 3 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 1942235353 NPPES
Wisconsin MEDICAID 32258100

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