Shaw, Jimmy

Shaw, Jimmy is an individual health care provider with primary practice located at 120 Meghan Ln , Judsonia AR 72081-9302. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Shaw, Jimmy can be contacted via phone (866) 729-4479.

Contact Information

Primary practice address
120 Meghan Ln Judsonia AR 72081-9302
Phone: (866) 729-4479
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X A1310133 Arkansas

Profile Details

NPI number 1417386616
LBN Legal business name Shaw, Jimmy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2013
Last updated Nov 7th, 2013 - about 12 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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