Shipley, M Susan

Shipley, M Susan is an sole proprietor health care provider with primary practice located at 523 Holston Ave , Bristol TN 37620-2131. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shipley, M Susan can be contacted via phone (423) 968-5050.

Contact Information

Primary practice address
523 Holston Ave Bristol TN 37620-2131
Phone: (423) 968-5050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1127 Tennessee

Profile Details

NPI number 1568494565
LBN Legal business name Shipley, M Susan
Credentials LCSW, ACSW, MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568494565 NPPES
Tennessee Other 3011513 BCBS NONPAR

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