Grass, Timothy J

Grass, Timothy J is an individual health care provider with primary practice located at 10101 S 27Th St , Franklin WI 53132-7209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Grass, Timothy J can be contacted via phone (414) 325-4940.

Contact Information

Primary practice address
10101 S 27Th St Franklin WI 53132-7209
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38321 Wisconsin

Profile Details

NPI number 1982719134
LBN Legal business name Grass, Timothy J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Mar 7th, 2023 - about 3 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 1982719134 NPPES
Wisconsin MEDICAID 30091700

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