King, Shawn

King, Shawn is an sole proprietor health care provider with primary practice located at 67 Riverboat Village Rd , South Hadley MA 01075-1353. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. King, Shawn can be contacted via phone (413) 400-2788.

Contact Information

Primary practice address
67 Riverboat Village Rd South Hadley MA 01075-1353
Phone: (413) 400-2788
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LMHC10000868 Massachusetts

Profile Details

NPI number 1295132223
LBN Legal business name King, Shawn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2014
Last updated Oct 18th, 2023 - about 2 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 1295132223 NPPES
Massachusetts MEDICAID 1300881

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