Shaw, Mark M.

Shaw, Mark M. is an sole proprietor health care provider with primary practice located at 1600 California Dr , Vacaville CA 95687. He recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as his primary health care specialty. Shaw, Mark M. can be contacted via phone (707) 449-6504.

Contact Information

Primary practice address
1600 California Dr Vacaville CA 95687
Phone: (707) 449-6504
Fax: (707) 453-7047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY 15079 California

Profile Details

NPI number 1154556918
LBN Legal business name Shaw, Mark M.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2009
Last updated May 22nd, 2009 - about 16 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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