Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY WILLIAM ELLISON
Active Sole ProprietorTIMOTHY WILLIAM ELLISON is a Contractor healthcare provider located in CHISHOLM, Minnesota. NPI 1972191674 is currently active in the NPPES registry. Verify at CMS.
Contractor · CHISHOLM, MN
Registration Details
- NPI Number
- 1972191674
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 7, 2021 (5.5951655183941 yrs)
- Last Updated
- Jan 7, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
306 6TH ST SWCHISHOLM, MN, 557191932Browse MN providers · Browse ZIP 55719
- Phone
- 2189963225
- Primary Specialty
-
Contractor
171W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.