Pinke, Tim A

Pinke, Tim A is an sole proprietor health care provider with primary practice located at 302 1St Ave S , Saint James MN 56081-1724. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pinke, Tim A can be contacted via phone (507) 375-3737.

Contact Information

Primary practice address
302 1St Ave S Saint James MN 56081-1724
Fax: (507) 375-3715
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2375 Minnesota

Profile Details

NPI number 1508939182
LBN Legal business name Pinke, Tim A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Mar 10th, 2016 - about 9 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 1508939182 NPPES
Minnesota MEDICAID 462225100

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