Shamalov, Michael

Shamalov, Michael is an individual health care provider with primary practice located at 500 8Th Ave , Terre Haute IN 47804-4072. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Health Service is his primary health care specialty. Shamalov, Michael can be contacted via phone (812) 231-8376.

Contact Information

Primary practice address
500 8Th Ave Terre Haute IN 47804-4072
Phone: (812) 231-8376
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20043100A Indiana

Profile Details

NPI number 1467950477
LBN Legal business name Shamalov, Michael
Credentials HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2018
Last updated Feb 7th, 2018 - about 6 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.

Request for update

Popular Providers