Trupke, Timothy
Trupke, Timothy is an individual health care provider with primary practice located at 3852 Creamery Rd , De Pere WI 54115-9210. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Trupke, Timothy can be contacted via phone (920) 338-9670.Contact Information
Primary practice address
3852 Creamery Rd
De Pere WI 54115-9210
Phone: (920) 338-9670
Fax: (920) 338-9680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5384-024 | Wisconsin |
Profile Details
| NPI number | 1124175872 |
|---|---|
| LBN Legal business name | Trupke, Timothy |
| Credentials | PT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Dec 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124175872 | NPPES |
| Wisconsin | MEDICAID | 40347200 | |
| Wisconsin | Other | 5384-024 | |
| Wisconsin | Other | 901497 |
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