Rasmussen, Timothy R

Rasmussen, Timothy R is an individual health care provider with primary practice located at 110 2Nd St. S. Ste #301, Waite Park MN 56387-1314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Rasmussen, Timothy R can be contacted via phone (320) 252-2976.

Contact Information

Primary practice address
110 2Nd St. S. Ste #301 Waite Park MN 56387-1314
Fax: (320) 656-1570
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 30993 Minnesota

Profile Details

NPI number 1144293937
LBN Legal business name Rasmussen, Timothy R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Apr 30th, 2015 - about 11 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 1144293937 NPPES
Minnesota MEDICAID 815703100

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