Rasor, Timothy B

Rasor, Timothy B is an individual health care provider with primary practice located at N1750 Lily Of The Valley Dr , Greenville WI 54942-9044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rasor, Timothy B can be contacted via phone (920) 757-5170.

Contact Information

Primary practice address
N1750 Lily Of The Valley Dr Greenville WI 54942-9044
Fax: (920) 757-6589
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27767-020 Wisconsin

Profile Details

NPI number 1184650046
LBN Legal business name Rasor, Timothy B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Oct 30th, 2015 - about 10 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 1184650046 NPPES
Wisconsin MEDICAID 30791200

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