Reid, Timothy S

Reid, Timothy S is an individual health care provider with primary practice located at 1010 N Washington St , Janesville WI 53548-1561. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Reid, Timothy S can be contacted via phone (608) 741-6799.

Contact Information

Primary practice address
1010 N Washington St Janesville WI 53548-1561
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41610 Wisconsin

Profile Details

NPI number 1023160520
LBN Legal business name Reid, Timothy S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Nov 16th, 2009 - about 15 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 1023160520 NPPES
Wisconsin MEDICAID 32595000

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