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TIMOTHY JOHN BLACKOWIKAK L.P.N
NPI 1750701272
Licensed Practical Nurse in Dundas, MN

Active since April 23, 2014
212 FOREST AVE N, DUNDAS, MN 55019(612) 423-5639 Get Directions Write a Review

NPPES record last updated: April 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy John Blackowikak L.p.n NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY JOHN BLACKOWIKAK L.P.N (NPI 1750701272) is an individual licensed practical nurse in Dundas, Minnesota, licensed in Minnesota (L36999-0) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1750701272
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameTIMOTHY JOHN BLACKOWIKAKCredential: L.P.N
Location Address212 FOREST AVE NDundas, MN 55019-3941
Mailing Address212 Forest Ave NDundas, MN 55019-3941 · (612) 423-5639
Phone(612) 423-5639
Sole ProprietorYes
Enumeration DateApril 23, 2014
✔ NPI 1750701272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MN · L36999-0
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Also ListedLicensed Vocational NurseTaxonomy 164X00000X · License L36999-0 (MN)
212 FOREST AVE N, Dundas, MN 55019
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Blackowikak's NPI number?

The NPI number for Timothy Blackowikak is 1750701272. It was assigned to this individual provider in the NPPES registry on April 23, 2014.

Where is Timothy Blackowikak located?

Timothy Blackowikak practices at 212 Forest Ave N, Dundas, MN 55019. The listed phone number is (612) 423-5639.

What is Timothy Blackowikak's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Timothy Blackowikak was last updated on April 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.