Olaughlin, Michael Shawn

Olaughlin, Michael Shawn is an individual health care provider with primary practice located at 510 4Th St South , Fargo ND 58103. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Olaughlin, Michael Shawn can be contacted via phone (701) 476-7800.

Contact Information

Primary practice address
510 4Th St South Fargo ND 58103
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 350 North Dakota
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3493 Minnesota

Profile Details

NPI number 1790878957
LBN Legal business name Olaughlin, Michael Shawn
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1790878957 NPPES
North Dakota MEDICAID 11928

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