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
Phone: (320) 252-5131
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659575702 | NPPES |
| Minnesota | MEDICAID | ENROLLED | |
| Minnesota | MEDICAID | ENROLLED |
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