Shaw, Elizabeth A.
Shaw, Elizabeth A. is an sole proprietor health care provider with primary practice located at 112 Swift Ave , Durham NC 27705-4883. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Shaw, Elizabeth A. can be contacted via phone (919) 824-2480.Contact Information
Primary practice address
112 Swift Ave
Durham NC 27705-4883
Phone: (919) 824-2480
Fax: (919) 416-1188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1107 | North Carolina |
Profile Details
| NPI number | 1720060627 |
|---|---|
| LBN Legal business name | Shaw, Elizabeth A. |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Nov 16th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720060627 | NPPES |
| North Carolina | Other | 04534 | BLUE CROSS BLUE SHIELD |
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