Zielicke, Timothy J
Zielicke, Timothy J is an individual health care provider with primary practice located at 3551 E Overland Rd , Meridian ID 83642-6757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Zielicke, Timothy J can be contacted via phone (208) 884-1333.Contact Information
Primary practice address
3551 E Overland Rd
Meridian ID 83642-6757
Phone: (208) 884-1333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | O-1548 | Idaho |
Profile Details
| NPI number | 1841638723 |
|---|---|
| LBN Legal business name | Zielicke, Timothy J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2013 |
| Last updated | Apr 4th, 2023 - about 2 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 | 1841638723 | NPPES |
| Idaho | MEDICAID | 1841638723 |
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