Drake, Shelley Anna

Drake, Shelley Anna is an sole proprietor health care provider with primary practice located at 249 Islington St Suite 11, Portsmouth NH 03801-4266. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Drake, Shelley Anna can be contacted via phone (603) 828-5716.

Contact Information

Primary practice address
249 Islington St Suite 11 Portsmouth NH 03801-4266
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1557 New Hampshire

Profile Details

NPI number 1477738235
LBN Legal business name Drake, Shelley Anna
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2007
Last updated May 8th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477738235 NPPES
New Hampshire Other P01119090 RAILROAD MEDICARE
New Hampshire MEDICAID 33400075 RAILROAD MEDICARE

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