Wellemeyer, Timothy T

Wellemeyer, Timothy T is an individual health care provider with primary practice located at 4378 Holt Rd , Holt MI 48842-1666. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wellemeyer, Timothy T can be contacted via phone (517) 694-1466.

Contact Information

Primary practice address
4378 Holt Rd Holt MI 48842-1666
Fax: (517) 694-3530
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X TW044920 Michigan

Profile Details

NPI number 1407814916
LBN Legal business name Wellemeyer, Timothy T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Dec 16th, 2013 - about 12 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 1407814916 NPPES
Other TW044920 BCBSM
Other 0100235 BCBSM
MEDICAID 102805476 BCBSM
Other TW044920 BCBSM
Other 0170235 BCBSM

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