Creamer, Timothy John
Creamer, Timothy John is an individual health care provider with primary practice located at 1801 W Wisconsin Ave , Milwaukee WI 53233-2186. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Creamer, Timothy John can be contacted via phone (414) 288-6171.Contact Information
Primary practice address
1801 W Wisconsin Ave
Milwaukee WI 53233-2186
Phone: (414) 288-6171
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5421-015 | Wisconsin |
Profile Details
| NPI number | 1790743193 |
|---|---|
| LBN Legal business name | Creamer, Timothy John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790743193 | NPPES |
| Wisconsin | MEDICAID | 33769900 |
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