Shank, Jonathan

Shank, Jonathan is an individual health care provider with primary practice located at 813 Capitol St , Spencer WV 25276-1924. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Shank, Jonathan can be contacted via phone (304) 485-6513.

Contact Information

Primary practice address
813 Capitol St Spencer WV 25276-1924
Phone: (304) 485-6513
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X A1W134600190 West Virginia

Profile Details

NPI number 1669922092
LBN Legal business name Shank, Jonathan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2016
Last updated Oct 10th, 2016 - 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.

Request for update

Popular Providers