Shaver, Jerry Alan

Shaver, Jerry Alan is an individual health care provider with primary practice located at 178 W Beamer St , Woodland CA 95695-2663. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Shaver, Jerry Alan can be contacted via phone (530) 666-8655.

Contact Information

Primary practice address
178 W Beamer St Woodland CA 95695-2663
Phone: (530) 666-8655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1659560027
LBN Legal business name Shaver, Jerry Alan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2007
Last updated Oct 22nd, 2007 - about 17 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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