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Contact Information

TIMOTHY J ZIELICKE, DO
3551 E OVERLAND RD
MERIDIAN, ID83642-6757
 Phone: 208-884-1333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for TIMOTHY J ZIELICKE · (Male)

NPI Number 1841638723
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/12/2013
Last updated 04/04/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • ID License # O-1548
  • ID Medicaid 1841638723
Hospital affiliation(s)
  • ST LUKES REGIONAL MEDICAL CENTER - (Acute Care)
    190 EAST BANNOCK STREET
    BOISE, ID 83712
  • WALTER KNOX MEMORIAL HOSPITAL - (Critical Access)
    1202 EAST LOCUST STREET
    EMMETT, ID 83617
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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