Kelly, Shaun Michael

Kelly, Shaun Michael is an individual health care provider with primary practice located at 107 Lincoln St , Worcester MA 01605-2401. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Kelly, Shaun Michael can be contacted via phone (508) 453-3056.

Contact Information

Primary practice address
107 Lincoln St Worcester MA 01605-2401
Phone: (508) 453-3056
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 33 Massachusetts

Profile Details

NPI number 1447388293
LBN Legal business name Kelly, Shaun Michael
Credentials MA,LADC1 CAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Jul 8th, 2007 - about 18 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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