Shaw, Andre

Shaw, Andre is an sole proprietor health care provider with primary practice located at 2711 W 15Th St , Panama City FL 32401-1366. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Shaw, Andre can be contacted via phone (850) 769-6001.

Contact Information

Primary practice address
2711 W 15Th St Panama City FL 32401-1366
Phone: (850) 769-6001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1134577687
LBN Legal business name Shaw, Andre
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2016
Last updated May 25th, 2016 - about 8 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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