Houlihan, Timothy
Houlihan, Timothy is an individual health care provider with primary practice located at 1405 Mill St , New London WI 54961-2155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Houlihan, Timothy can be contacted via phone (920) 531-2400.Contact Information
Primary practice address
1405 Mill St
New London WI 54961-2155
Phone: (920) 531-2400
Fax: (920) 531-2450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 30412 | Wisconsin |
Profile Details
| NPI number | 1346260494 |
|---|---|
| LBN Legal business name | Houlihan, Timothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 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 | 1346260494 | NPPES |
| Wisconsin | MEDICAID | 31662300 |
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