Starner, Timothy Duane

Starner, Timothy Duane is an individual health care provider with primary practice located at 5522 Dahlen Dr , Madison WI 53705-1342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Starner, Timothy Duane can be contacted via phone (319) 621-6170.

Contact Information

Primary practice address
5522 Dahlen Dr Madison WI 53705-1342
Phone: (319) 621-6170
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 32733 Iowa
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 70625-20 Wisconsin

Profile Details

NPI number 1972592004
LBN Legal business name Starner, Timothy Duane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Oct 16th, 2023 - about 2 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 1972592004 NPPES
Wisconsin MEDICAID 34503500
Wisconsin Other 40226
Wisconsin MEDICAID 0235820

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