Dornisch, Tim John

Dornisch, Tim John is an individual health care provider with primary practice located at 4441 Gaywood Dr , Minnetonka MN 55345-3809. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Dornisch, Tim John can be contacted via phone (952) 239-9369.

Contact Information

Primary practice address
4441 Gaywood Dr Minnetonka MN 55345-3809
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X BC692986 Minnesota

Profile Details

NPI number 1275390791
LBN Legal business name Dornisch, Tim John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2024
Last updated Mar 1st, 2024 - about 8 months 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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