Hipskind, Timothy
Hipskind, Timothy is an individual health care provider with primary practice located at 2100 Madison Ave , Granite City IL 62040-4701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hipskind, Timothy can be contacted via phone (618) 798-3000.Contact Information
Primary practice address
2100 Madison Ave
Granite City IL 62040-4701
Phone: (618) 798-3000
Fax: (618) 798-3000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036072290 | Illinois |
Profile Details
| NPI number | 1265439640 |
|---|---|
| LBN Legal business name | Hipskind, Timothy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Aug 15th, 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 | 1265439640 | NPPES |
| Illinois | MEDICAID | 036072290 |
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