Organization Name: | SHINEDLING & SHINEDLING PC |
NPI Number: | 1003942368 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARTIN SHINEDLING (OWNER) |
Mailing Address: | 2355 And A Half Delta Rd Bay City |
State: | MI US |
Postal Code: | 487069340 |
Phone Number: | 9896675654 |
Fax Number: | 9896675330 |
NPI Enumeration Date: | 02/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |