Shaw, Gabrielle M

Shaw, Gabrielle M is an sole proprietor health care provider with primary practice located at 4795 Broadway Ste D , Gary IN 46409-2403. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Technologists, Technicians & Other Technical Service Providers / Medical Laboratory, Technologists, Technicians & Other Technical Service Providers / Phlebotomy, Agencies / Case Management, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Shaw, Gabrielle M can be contacted via phone (219) 779-5939.

Contact Information

Primary practice address
4795 Broadway Ste D Gary IN 46409-2403
Phone: (219) 779-5939
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Indiana
Other Service Providers / Case Manager/Care Coordinator 171M00000X Indiana
Technologists, Technicians & Other Technical Service Providers / Medical Laboratory 246RM2200X Indiana
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X 60512 Indiana
Agencies / Case Management 251B00000X Indiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Indiana

Profile Details

NPI number 1316692692
LBN Legal business name Shaw, Gabrielle M
Credentials PBT,
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2022
Last updated Mar 28th, 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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