Tiemstra, Jeffrey D

Tiemstra, Jeffrey D is an individual health care provider with primary practice located at W3985 County Road Nn , Elkhorn WI 53121-4337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tiemstra, Jeffrey D can be contacted via phone (262) 741-2000.

Contact Information

Primary practice address
W3985 County Road Nn Elkhorn WI 53121-4337
Phone: (262) 741-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 64749 Wisconsin

Profile Details

NPI number 1336252238
LBN Legal business name Tiemstra, Jeffrey D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Aug 7th, 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 1336252238 NPPES
Wisconsin MEDICAID 100049570

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