Anderson, Shane Michael

Anderson, Shane Michael is an individual health care provider with primary practice located at 13800 Us Highway 23 , Waverly OH 45690-9402. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Anderson, Shane Michael can be contacted via phone (740) 947-8777.

Contact Information

Primary practice address
13800 Us Highway 23 Waverly OH 45690-9402
Phone: (740) 947-8777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 081184 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 81184-CS Ohio
Other Service Providers / Case Manager/Care Coordinator 171M00000X Ohio

Profile Details

NPI number 1750513040
LBN Legal business name Anderson, Shane Michael
Credentials LICDC-CS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2009
Last updated Oct 31st, 2023 - about last year

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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