Blackowikak, Timothy John

Blackowikak, Timothy John is an sole proprietor health care provider with primary practice located at 212 Forest Ave N , Dundas MN 55019-3941. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Licensed Vocational Nurse. Nursing Service Providers / Licensed Practical Nurse is his primary health care specialty. Blackowikak, Timothy John can be contacted via phone (612) 423-5639.

Contact Information

Primary practice address
212 Forest Ave N Dundas MN 55019-3941
Phone: (612) 423-5639
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X L36999-0 Minnesota
Nursing Service Providers / Licensed Vocational Nurse 164X00000X L36999-0 Minnesota

Profile Details

NPI number 1750701272
LBN Legal business name Blackowikak, Timothy John
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2014
Last updated Apr 23rd, 2014 - about 12 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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