Timmons, Richard J

Timmons, Richard J is an individual health care provider with primary practice located at 744 S Webster Ave 2Nd Floor, Green Bay WI 54301-3505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Timmons, Richard J can be contacted via phone (920) 433-3640.

Contact Information

Primary practice address
744 S Webster Ave 2Nd Floor Green Bay WI 54301-3505
Phone: (920) 433-3640
Fax: (920) 433-3716
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 34292-20 Wisconsin

Profile Details

NPI number 1366481897
LBN Legal business name Timmons, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Feb 11th, 2016 - about 8 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 1366481897 NPPES
Wisconsin MEDICAID 31908900

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