Shinedling, Martin M

Shinedling, Martin M is an sole proprietor health care provider with primary practice located at 272 E Center St Suite 207, Ivins UT 84738-6456. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Shinedling, Martin M can be contacted via phone (435) 652-3775.

Contact Information

Primary practice address
272 E Center St Suite 207 Ivins UT 84738-6456
Phone: (435) 652-3775
Fax: (435) 652-8334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 6906880-2501 Utah

Profile Details

NPI number 1275583296
LBN Legal business name Shinedling, Martin M
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated May 26th, 2011 - about 14 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 1275583296 NPPES
Michigan Other 680Z910100 BLUE CROSS
Michigan Other P25143F BLUE CROSS

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