Maher, Timothy James

Maher, Timothy James is an individual health care provider with primary practice located at 10400 75Th St , Kenosha WI 53142-7884. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Maher, Timothy James can be contacted via phone (414) 389-2131.

Contact Information

Primary practice address
10400 75Th St Kenosha WI 53142-7884
Phone: (414) 389-2131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 63558 Wisconsin

Profile Details

NPI number 1275976086
LBN Legal business name Maher, Timothy James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2013
Last updated Oct 9th, 2023 - about last year

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 1275976086 NPPES
Wisconsin MEDICAID 100042545

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