Bourgeois, Shelby
Bourgeois, Shelby is an sole proprietor health care provider with primary practice located at 50 John Munn Rd , Saranac Lake NY 12983-1341. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bourgeois, Shelby can be contacted via phone (518) 891-5353.Contact Information
Primary practice address
50 John Munn Rd
Saranac Lake NY 12983-1341
Phone: (518) 891-5353
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 36789 | New York |
Profile Details
| NPI number | 1215681960 |
|---|---|
| LBN Legal business name | Bourgeois, Shelby |
| Credentials | CASAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 10th, 2022 |
| Last updated | Feb 10th, 2022 - about 2 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.
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