Roarty, Timothy P

Roarty, Timothy P is an individual health care provider with primary practice located at 2500 E Capitol Dr Ste 1700 , Appleton WI 54911-8735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Roarty, Timothy P can be contacted via phone (920) 731-8131.

Contact Information

Primary practice address
2500 E Capitol Dr Ste 1700 Appleton WI 54911-8735
Fax: (920) 832-0444
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 36458 Wisconsin

Profile Details

NPI number 1437226529
LBN Legal business name Roarty, Timothy P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jul 19th, 2023 - about 2 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 1437226529 NPPES
Wisconsin MEDICAID 32113400

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