Timothy John Koller in Sheboygan - Professional

Timothy John Koller - NPI 1407918998

Timothy John Koller is a Professional in Sheboygan, Wisconsin. Timothy John Koller practices all healthcare services and medical treatments related to Professional. The NPI Number for Timothy John Koller is 1407918998. The last update date is 2008-11-11.

Timothy John Koller's current location address is Po Box 1127, Sheboygan, Wisconsin. You can contact this provider via phone number 9204576750 and fax number 9204578350. The mailing address for Timothy John Koller is Po Box 1127, Sheboygan, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy John Koller
Address Po Box 1127, Sheboygan, Wisconsin
Phone Number 9204576750
Fax Number 9204578350
Sole Proprietor N
Credentials MS, LPC

NPI Number Detail

NPI Number 1407918998
Provider Enumeration Date 2006-12-14
Last Updated Date 2008-11-11

Provider Mailing Address Detail

Address Po Box 1127
City Sheboygan
State Wisconsin (WI)
Post Code 530821127
Phone Number 9204576750
Fax Number 9204578350

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 2649-125
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
39756000 WI --

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FAQs about Timothy John Koller

What is the unique 10-digit identifier code assigned to Timothy John Koller by the Centers for Medicare & Medicaid Services?

The Timothy John Koller has been issued the NPI (National Provider Identifier) 1407918998 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Timothy John Koller's facilities are situated?

The facilities of Timothy John Koller are physically located at the following address: Po Box 1127, Sheboygan, WI, 530821127.

What is Timothy John Koller's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Timothy John Koller's specialized field of practice is Professional, and the corresponding taxonomy code that categorizes this area of specialization is 101Yp2500X.

When did Timothy John Koller receive its 1407918998 assignment?

The Timothy John Koller was assigned its 1407918998 on 2006-12-14, which is the date when this unique identifier was issued to the organization.

When was the Timothy John Koller's information last updated?

The Timothy John Koller's information was last updated on 2008-11-11.

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