Wolter, Timothy John
Wolter, Timothy John is an individual health care provider with primary practice located at 716 W Columbia St , Chippewa Falls WI 54729-2104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wolter, Timothy John can be contacted via phone (715) 726-1963.Contact Information
Primary practice address
716 W Columbia St
Chippewa Falls WI 54729-2104
Phone: (715) 726-1963
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 26902 | Wisconsin |
Profile Details
| NPI number | 1871596825 |
|---|---|
| LBN Legal business name | Wolter, Timothy John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Sep 28th, 2007 - about 18 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 | 1871596825 | NPPES |
| Wisconsin | MEDICAID | 30683800 |
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