Ehle, Timothy Michael

Ehle, Timothy Michael is an individual health care provider with primary practice located at 1200 Sixth Ave N , St Cloud MN 56303-2735. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Ehle, Timothy Michael can be contacted via phone (320) 252-5131.

Contact Information

Primary practice address
1200 Sixth Ave N St Cloud MN 56303-2735
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 108091 Minnesota
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 108091 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10891 Minnesota

Profile Details

NPI number 1659575702
LBN Legal business name Ehle, Timothy Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Mar 27th, 2015 - about 11 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 1659575702 NPPES
Minnesota MEDICAID ENROLLED
Minnesota MEDICAID ENROLLED

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