Shaker, Paul Jeffrey

Shaker, Paul Jeffrey is an sole proprietor health care provider with primary practice located at 69 Maple Ave , Bloomfield CT 06002-2337. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shaker, Paul Jeffrey can be contacted via phone (203) 525-8358.

Contact Information

Primary practice address
69 Maple Ave Bloomfield CT 06002-2337
Fax: (860) 656-6743
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5251 Connecticut

Profile Details

NPI number 1982797353
LBN Legal business name Shaker, Paul Jeffrey
Credentials LCSW, MSW, M.DIV.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2006
Last updated Mar 16th, 2024 - about last year

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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