Shastel, Michael

Shastel, Michael is an individual health care provider with primary practice located at 200 Wisteria Dr , Gainesville GA 30501-3827. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Shastel, Michael can be contacted via phone (770) 219-5407.

Contact Information

Primary practice address
200 Wisteria Dr Gainesville GA 30501-3827
Phone: (770) 219-5407
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN246991 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN246991 Georgia

Profile Details

NPI number 1821724790
LBN Legal business name Shastel, Michael
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2022
Last updated Sep 6th, 2022 - about 2 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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