Jelsema, Timothy Russel

Jelsema, Timothy Russel is an individual health care provider with primary practice located at 705 Oak St Unit 11 , Big Rapids MI 49307-3108. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Jelsema, Timothy Russel can be contacted via phone (231) 592-1002.

Contact Information

Primary practice address
705 Oak St Unit 11 Big Rapids MI 49307-3108
Phone: (231) 592-1002
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301110558 Michigan
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 4301110558 Michigan

Profile Details

NPI number 1871944397
LBN Legal business name Jelsema, Timothy Russel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2016
Last updated Feb 17th, 2021 - about 3 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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