Fehrenbacher, Timothy Allen

Fehrenbacher, Timothy Allen is an individual health care provider with primary practice located at 2801 W Kinnickinnic River Pkwy , Milwaukee WI 53215-3669. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Fehrenbacher, Timothy Allen can be contacted via phone (414) 649-3240.

Contact Information

Primary practice address
2801 W Kinnickinnic River Pkwy Milwaukee WI 53215-3669
Phone: (414) 649-3240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1322023 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1322 Wisconsin

Profile Details

NPI number 1881740421
LBN Legal business name Fehrenbacher, Timothy Allen
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Dec 1st, 2021 - about 5 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 1881740421 NPPES
Wisconsin MEDICAID 41924500

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