Timothy, Promila K.
Timothy, Promila K. is an individual health care provider with primary practice located at 3301 Stanley St , Stevens Point WI 54481-1323. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Timothy, Promila K. can be contacted via phone (715) 341-7332.Contact Information
Primary practice address
3301 Stanley St
Stevens Point WI 54481-1323
Phone: (715) 341-7332
Fax: (701) 857-8056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 14108 | North Dakota |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 67961 | Wisconsin |
Profile Details
| NPI number | 1912127424 |
|---|---|
| LBN Legal business name | Timothy, Promila K. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2007 |
| Last updated | Oct 26th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912127424 | NPPES |
| North Dakota | MEDICAID | 1468854 |
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