Koelz, Timothy J

Koelz, Timothy J is an individual health care provider with primary practice located at 1221 Nicollet Ave Suite 600, Minneapolis MN 55403-2420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Koelz, Timothy J can be contacted via phone (612) 573-2232.

Contact Information

Primary practice address
1221 Nicollet Ave Suite 600 Minneapolis MN 55403-2420
Phone: (612) 573-2232
Fax: (612) 573-2274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 19117 Minnesota

Profile Details

NPI number 1427001635
LBN Legal business name Koelz, Timothy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 25th, 2008 - about 16 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 1427001635 NPPES
Iowa MEDICAID 1942557
Iowa Other HP13715
Iowa MEDICAID 714985000
Iowa Other 100700
Iowa MEDICAID 30627000
Iowa Other 9214136
Iowa Other 08829KO
Iowa Other 297G1KO
Iowa Other 300077289
Iowa Other 0247009
Iowa Other 22845

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