Proudfoot, Shawn
Proudfoot, Shawn is an individual health care provider with primary practice located at 1709 Moon St Ne , Albuquerque NM 87112-3935. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Proudfoot, Shawn can be contacted via phone (505) 271-0329.Contact Information
Primary practice address
1709 Moon St Ne
Albuquerque NM 87112-3935
Phone: (505) 271-0329
Fax: (505) 271-4957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149004982 | Illinois |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-06369 | New Mexico |
Profile Details
| NPI number | 1902865165 |
|---|---|
| LBN Legal business name | Proudfoot, Shawn |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Aug 25th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902865165 | NPPES |
| Illinois | Other | 343172 | TRICARE |
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