Shininger, Timothy J

Shininger, Timothy J is an individual health care provider with primary practice located at 1317 W Grand Ave , Port Washington WI 53074-2075. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Shininger, Timothy J can be contacted via phone (262) 284-5789.

Contact Information

Primary practice address
1317 W Grand Ave Port Washington WI 53074-2075
Phone: (262) 284-5789
Fax: (262) 284-5907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4271-123 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 406-124 Wisconsin

Profile Details

NPI number 1346294816
LBN Legal business name Shininger, Timothy J
Credentials LCSW LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1346294816 NPPES
Wisconsin MEDICAID 39730900

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