Shaffer, Mark Alan
Shaffer, Mark Alan is an individual health care provider with primary practice located at 1104 Healthway Dr , Salisbury MD 21804-4469. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shaffer, Mark Alan can be contacted via phone (410) 219-5483.Contact Information
Primary practice address
1104 Healthway Dr
Salisbury MD 21804-4469
Phone: (410) 219-5483
Fax: (410) 219-5486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 23436 | Maryland |
Profile Details
| NPI number | 1659314565 |
|---|---|
| LBN Legal business name | Shaffer, Mark Alan |
| Credentials | LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Aug 25th, 2020 - about 4 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 | 1659314565 | NPPES |
| Maryland | MEDICAID | 119591300 |
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