Hubbard, Timothy Michael

Hubbard, Timothy Michael is an individual health care provider with primary practice located at 4400 Sheridan Rd , Kenosha WI 53140-5747. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hubbard, Timothy Michael can be contacted via phone (262) 652-5454.

Contact Information

Primary practice address
4400 Sheridan Rd Kenosha WI 53140-5747
Phone: (262) 652-5454
Fax: (262) 652-5732
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27225 Wisconsin

Profile Details

NPI number 1568523389
LBN Legal business name Hubbard, Timothy Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568523389 NPPES
Wisconsin MEDICAID 300240000

Popular Providers