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
Phone: (603) 828-5716
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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 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 | 1477738235 | NPPES |
New Hampshire | Other | P01119090 | RAILROAD MEDICARE |
New Hampshire | MEDICAID | 33400075 | RAILROAD MEDICARE |
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