Reardon, Shirley
Reardon, Shirley is an individual health care provider with primary practice located at 1570 Suncrest Dr , Lapeer MI 48446-1154. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Reardon, Shirley can be contacted via phone (810) 667-0500.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 6802072472 | Michigan |
Profile Details
| NPI number | 1629165626 |
|---|---|
| LBN Legal business name | Reardon, Shirley |
| Credentials | LLMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Aug 28th, 2015 - about 9 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 | 1629165626 | NPPES |
| Michigan | MEDICAID | 1705242 TYPE 21 |
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