Zelko, Timothy Joseph

Zelko, Timothy Joseph is an sole proprietor health care provider with primary practice located at 9916 75Th St Suite 200, Kenosha WI 53142-7583. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Zelko, Timothy Joseph can be contacted via phone (262) 697-7750.

Contact Information

Primary practice address
9916 75Th St Suite 200 Kenosha WI 53142-7583
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 24876-021 Wisconsin

Profile Details

NPI number 1154443174
LBN Legal business name Zelko, Timothy Joseph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
Last updated Jul 9th, 2007 - about 17 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 1154443174 NPPES
Wisconsin MEDICAID 30022900

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