Neis, Timothy John

Neis, Timothy John is an sole proprietor health care provider with primary practice located at 18315 Cascade Dr Ste 170, Eden Prairie MN 55347-1180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Neis, Timothy John can be contacted via phone (952) 831-1944.

Contact Information

Primary practice address
18315 Cascade Dr Ste 170 Eden Prairie MN 55347-1180
Phone: (952) 831-1944
Fax: (952) 278-6947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 37902 Minnesota

Profile Details

NPI number 1811000771
LBN Legal business name Neis, Timothy John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811000771 NPPES
Minnesota Other 1207783 MEDICA
Minnesota Other 9G970NE MEDICA
Minnesota Other FP9021016213 MEDICA

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