John, Shelby Jane

John, Shelby Jane is an individual health care provider with primary practice located at 1035 Emmorton Rd , Bel Air MD 21014-5469. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. John, Shelby Jane can be contacted via phone (410) 937-1386.

Contact Information

Primary practice address
1035 Emmorton Rd Bel Air MD 21014-5469
Phone: (410) 937-1386
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 13592 Maryland

Profile Details

NPI number 1881882165
LBN Legal business name John, Shelby Jane
Credentials MSW, LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2007
Last updated Oct 1st, 2014 - about 11 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 1881882165 NPPES
Maryland MEDICAID 414765100

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