Shear, Mary Locke
Shear, Mary Locke is an sole proprietor health care provider with primary practice located at 7337 W Jefferson Blvd Suite 175, Fort Wayne IN 46804-6284. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shear, Mary Locke can be contacted via phone (260) 436-7131.Contact Information
Primary practice address
7337 W Jefferson Blvd Suite 175
Fort Wayne IN 46804-6284
Phone: (260) 436-7131
Fax: (260) 436-5123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20040180 | Indiana |
Profile Details
| NPI number | 1144213711 |
|---|---|
| LBN Legal business name | Shear, Mary Locke |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2005 |
| Last updated | Oct 29th, 2012 - 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 | 1144213711 | NPPES |
| Indiana | MEDICAID | 100090960 |
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