Jaynes, Shane Clinton

Jaynes, Shane Clinton is an individual health care provider with primary practice located at 1481 Trumansburg Rd , Ithaca NY 14850. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Jaynes, Shane Clinton can be contacted via phone (607) 256-7639.

Contact Information

Primary practice address
1481 Trumansburg Rd Ithaca NY 14850
Phone: (607) 256-7639
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X New York
Behavioral Health & Social Service Providers / Social Worker 104100000X R070758 New York

Profile Details

NPI number 1770521155
LBN Legal business name Jaynes, Shane Clinton
Credentials LCSWR
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Sep 8th, 2008 - about 16 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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