Polmateer, Shannon Dale

Polmateer, Shannon Dale is an individual health care provider with primary practice located at 615 N 18Th St Suite 201, Lafayette IN 47904. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Polmateer, Shannon Dale can be contacted via phone (765) 423-5361.

Contact Information

Primary practice address
615 N 18Th St Suite 201 Lafayette IN 47904
Phone: (765) 423-5361
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1053501957
LBN Legal business name Polmateer, Shannon Dale
Credentials MA, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2007
Last updated Jul 26th, 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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