Niedzwiecki, Timothy Joseph

Niedzwiecki, Timothy Joseph is an sole proprietor health care provider with primary practice located at 1415 Lawrence Dr , De Pere WI 54115-3927. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Niedzwiecki, Timothy Joseph can be contacted via phone (920) 336-7168.

Contact Information

Primary practice address
1415 Lawrence Dr De Pere WI 54115-3927
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 14076-40 Wisconsin

Profile Details

NPI number 1336747245
LBN Legal business name Niedzwiecki, Timothy Joseph
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2020
Last updated Oct 13th, 2020 - about 4 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.

Request for update

Popular Providers