Freeman, Timothy J

Freeman, Timothy J is an individual health care provider with primary practice located at 2845 Greenbrier Rd Ste 310 , Green Bay WI 54311-6519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Freeman, Timothy J can be contacted via phone (920) 288-8300.

Contact Information

Primary practice address
2845 Greenbrier Rd Ste 310 Green Bay WI 54311-6519
Phone: (920) 288-8300
Fax: (920) 288-8305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 23051-20 Wisconsin

Profile Details

NPI number 1417997958
LBN Legal business name Freeman, Timothy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Oct 26th, 2010 - about 14 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 1417997958 NPPES
Wisconsin MEDICAID 30383200

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