Shirlock, Scott

Shirlock, Scott is an sole proprietor health care provider with primary practice located at 1260 N Dutton Ave Ste 105 , Santa Rosa CA 95401-7121. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Shirlock, Scott can be contacted via phone (707) 568-2300.

Contact Information

Primary practice address
1260 N Dutton Ave Ste 105 Santa Rosa CA 95401-7121
Phone: (707) 568-2300
Fax: (707) 568-2304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1730720731
LBN Legal business name Shirlock, Scott
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2019
Last updated Oct 1st, 2019 - about 5 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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