Timothy P Ellingstad in Milwaukee - Health
Timothy P Ellingstad - NPI 1396851101
Timothy P Ellingstad is a Health in Milwaukee, Wisconsin. Timothy P Ellingstad practices all healthcare services and medical treatments related to Health. The NPI Number for Timothy P Ellingstad is 1396851101. The last update date is 2019-08-23.
Timothy P Ellingstad's current location address is 3301 W Forest Home Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4146476326 and fax number 4146718860. The mailing address for Timothy P Ellingstad is 3301 W Forest Home Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy P Ellingstad |
|---|---|
| Address | 3301 W Forest Home Ave, Milwaukee, Wisconsin |
| Phone Number | 4146476326 |
| Fax Number | 4146718860 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1396851101 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2019-08-23 |
Provider Mailing Address Detail
| Address | 3301 W Forest Home Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532152843 |
| Phone Number | 4146476326 |
| Fax Number | 4146718860 |
Provider's Primary Taxonomy Detail
| Speciality | Health |
|---|---|
| Taxonomy | 103Th0004X |
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Definition: A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinica |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39142400 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Timothy P Ellingstad by the Centers for Medicare & Medicaid Services?
The Timothy P Ellingstad has been issued the NPI (National Provider Identifier) 1396851101, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Timothy P Ellingstad's facilities are situated?
The facilities of Timothy P Ellingstad are physically located at the following address: 3301 W Forest Home Ave, Milwaukee, WI, 532152843.
What is Timothy P Ellingstad's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Timothy P Ellingstad is Health, and the taxonomy classification code that categorizes this area of expertise is 103Th0004X.
On what date did the Timothy P Ellingstad receive its 1396851101 assignment from the Centers for Medicare & Medicaid Services?
The Timothy P Ellingstad was assigned its 1396851101 by the Centers for Medicare & Medicaid Services on 2006-08-22.
When was the Timothy P Ellingstad's information last updated?
The Timothy P Ellingstad's information was last updated on 2019-08-23.