Jessick, Timothy J

Jessick, Timothy J is an individual health care provider with primary practice located at 2600 S Heritage Woods Dr , Appleton WI 54915-1408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Jessick, Timothy J can be contacted via phone (920) 225-7875.

Contact Information

Primary practice address
2600 S Heritage Woods Dr Appleton WI 54915-1408
Phone: (920) 225-7875
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 36739 Wyoming
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 36739 Wisconsin
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 36739 Wisconsin

Profile Details

NPI number 1619081080
LBN Legal business name Jessick, Timothy J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Jun 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619081080 NPPES
Wisconsin MEDICAID 100003391

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