Mullin, Timothy I

Mullin, Timothy I is an individual health care provider with primary practice located at 1700 W Paradise Dr Orthopaedic Surgery, West Bend WI 53095-9795. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mullin, Timothy I can be contacted via phone (262) 334-3451.

Contact Information

Primary practice address
1700 W Paradise Dr Orthopaedic Surgery West Bend WI 53095-9795
Phone: (262) 334-3451
Fax: (262) 326-2964
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 48489 - 20 Wisconsin

Profile Details

NPI number 1588752307
LBN Legal business name Mullin, Timothy I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Dec 31st, 2014 - about 12 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 1588752307 NPPES
Wisconsin Other 48489 LICENSE
Wisconsin MEDICAID 1588752307 LICENSE

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