Rasor, Timothy B
Rasor, Timothy B is an individual health care provider with primary practice located at N1750 Lily Of The Valley Dr , Greenville WI 54942-9044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rasor, Timothy B can be contacted via phone (920) 757-5170.Contact Information
Primary practice address
N1750 Lily Of The Valley Dr
Greenville WI 54942-9044
Phone: (920) 757-5170
Fax: (920) 757-6589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27767-020 | Wisconsin |
Profile Details
| NPI number | 1184650046 |
|---|---|
| LBN Legal business name | Rasor, Timothy B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Oct 30th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184650046 | NPPES |
| Wisconsin | MEDICAID | 30791200 |
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