Cunningham, Timothy Lee
Cunningham, Timothy Lee is an individual health care provider with primary practice located at 141 E Main St Waterbury Clinical Services, Waterbury CT 06702-2310. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Cunningham, Timothy Lee can be contacted via phone (203) 756-7287.Contact Information
Primary practice address
141 E Main St Waterbury Clinical Services
Waterbury CT 06702-2310
Phone: (203) 756-7287
Fax: (203) 236-0122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 000073 | Connecticut |
Profile Details
| NPI number | 1922252352 |
|---|---|
| LBN Legal business name | Cunningham, Timothy Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 12th, 2008 |
| Last updated | Jul 26th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922252352 | NPPES |
| Connecticut | Other | 060669107 | UBH/CONNECTICARE WELLMORE GRP/FACILITY |
| Connecticut | Other | 060669107 | UBH/CONNECTICARE WELLMORE GRP/FACILITY |
| Connecticut | MEDICAID | 008037428 | UBH/CONNECTICARE WELLMORE GRP/FACILITY |
| Connecticut | Other | 060669107 | UBH/CONNECTICARE WELLMORE GRP/FACILITY |
| Connecticut | Other | 4853958 | UBH/CONNECTICARE WELLMORE GRP/FACILITY |
| Connecticut | Other | 9790693 | UBH/CONNECTICARE WELLMORE GRP/FACILITY |
| Connecticut | Other | 060669107 | UBH/CONNECTICARE WELLMORE GRP/FACILITY |
| Connecticut | Other | 390290 | UBH/CONNECTICARE WELLMORE GRP/FACILITY |
| Connecticut | Other | 11241824 | UBH/CONNECTICARE WELLMORE GRP/FACILITY |
| Connecticut | Other | 390290 | UBH/CONNECTICARE WELLMORE GRP/FACILITY |
| Connecticut | Other | D339123 WATERBURY | UBH/CONNECTICARE WELLMORE GRP/FACILITY |
| Connecticut | Other | 060669107 | UBH/CONNECTICARE WELLMORE GRP/FACILITY |
| Connecticut | Other | 060669107 | UBH/CONNECTICARE WELLMORE GRP/FACILITY |
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