Tougas, Timothy Kevin
Tougas, Timothy Kevin is an sole proprietor health care provider with primary practice located at 1301 E Northland Ave Suite B, Appleton WI 54911-8582. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Tougas, Timothy Kevin can be contacted via phone (920) 731-1999.Contact Information
Primary practice address
1301 E Northland Ave Suite B
Appleton WI 54911-8582
Phone: (920) 731-1999
Fax: (920) 731-3729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 604-025 | Wisconsin |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 604-025 | Wisconsin |
Profile Details
| NPI number | 1093711491 |
|---|---|
| LBN Legal business name | Tougas, Timothy Kevin |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Mar 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093711491 | NPPES |
| Wisconsin | Other | 391776284013 | BLUE CROSS BLUE SHIELD |
| Wisconsin | MEDICAID | 43222200 | BLUE CROSS BLUE SHIELD |
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