Friend, Shane

Friend, Shane is an sole proprietor health care provider with primary practice located at 2808 S Picher Ave , Joplin MO 64804-1645. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is his primary health care specialty. Friend, Shane can be contacted via phone (417) 347-7850.

Contact Information

Primary practice address
2808 S Picher Ave Joplin MO 64804-1645
Phone: (417) 347-7850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 2017037743 Missouri

Profile Details

NPI number 1205293396
LBN Legal business name Friend, Shane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2016
Last updated Dec 28th, 2017 - about 7 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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