Szopa, Timothy J

Szopa, Timothy J is an individual health care provider with primary practice located at 407 W 66Th St , Richfield MN 55423-2304. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Szopa, Timothy J can be contacted via phone (612) 798-8800.

Contact Information

Primary practice address
407 W 66Th St Richfield MN 55423-2304
Phone: (612) 798-8800
Fax: (612) 798-8816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 702 Minnesota

Profile Details

NPI number 1134155260
LBN Legal business name Szopa, Timothy J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Mar 11th, 2021 - about 3 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 1134155260 NPPES
Minnesota MEDICAID 34829700

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