Swanson, Timothy

Swanson, Timothy is an individual health care provider with primary practice located at 1 1/2 W Geneva St , Elkhorn WI 53121-1722. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Swanson, Timothy can be contacted via phone (262) 723-3424.

Contact Information

Primary practice address
1 1/2 W Geneva St Elkhorn WI 53121-1722
Phone: (262) 723-3424
Fax: (262) 723-8308
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5120-125 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-000950 Illinois

Profile Details

NPI number 1124039367
LBN Legal business name Swanson, Timothy
Credentials MS, LCPC, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Aug 20th, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124039367 NPPES
Wisconsin MEDICAID 1124039367
Wisconsin Other 5615096

Popular Providers