Dolan, Timothy Michael
Dolan, Timothy Michael is an individual health care provider with primary practice located at 2202 Harlem Rd Suite 200, Loves Park IL 61111-2754. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Dolan, Timothy Michael can be contacted via phone (815) 877-4848.Contact Information
Primary practice address
2202 Harlem Rd Suite 200
Loves Park IL 61111-2754
Phone: (815) 877-4848
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 041327743 | Illinois |
| Nursing Service Providers / Registered Nurse | 163W00000X | 197396-30 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 209014799 | Illinois |
Profile Details
| NPI number | 1932653516 |
|---|---|
| LBN Legal business name | Dolan, Timothy Michael |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2016 |
| Last updated | Feb 22nd, 2024 - 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.
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