Shaffer, Michael Wayne

Shaffer, Michael Wayne is an individual health care provider with primary practice located at 1700 E 38Th St , Marion IN 46953-4568. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Shaffer, Michael Wayne can be contacted via phone (765) 674-3321.

Contact Information

Primary practice address
1700 E 38Th St Marion IN 46953-4568
Phone: (765) 674-3321
Fax: (765) 677-5115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 20854 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1619926615
LBN Legal business name Shaffer, Michael Wayne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 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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