Levenhagen, Tim Christopher

Levenhagen, Tim Christopher is an individual health care provider with primary practice located at 34700 Valley Rd , Oconomowoc WI 53066-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Levenhagen, Tim Christopher can be contacted via phone (800) 767-4411.

Contact Information

Primary practice address
34700 Valley Rd Oconomowoc WI 53066-4500
Phone: (800) 767-4411
Fax: (262) 646-7067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 33398020 Wisconsin

Profile Details

NPI number 1962487256
LBN Legal business name Levenhagen, Tim Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Sep 18th, 2009 - about 17 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 1962487256 NPPES
Wisconsin MEDICAID 32189000

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