Shooter, Jr., Eugene A.

Shooter, Jr., Eugene A. is an individual health care provider with primary practice located at 5276 Dawes Ave , Alexandria VA 22311-1404. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shooter, Jr., Eugene A. can be contacted via phone (703) 379-7350.

Contact Information

Primary practice address
5276 Dawes Ave Alexandria VA 22311-1404
Phone: (703) 379-7350
Fax: (703) 379-7352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 00810002612 Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY1878 District of Columbia
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY518 Hawaii

Profile Details

NPI number 1720024821
LBN Legal business name Shooter, Jr., Eugene A.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Mar 6th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720024821 NPPES
Virginia Other 110936 PCI APS
Virginia Other 2787110 PCI APS
Virginia Other 142975 PCI APS
Virginia Other 158367 PCI APS
Virginia Other 158367 PCI APS
Virginia Other 48900016 PCI APS
Virginia Other 453769 PCI APS
Virginia Other G3960017 PCI APS
Virginia Other 2122539 PCI APS
Virginia Other 228758 PCI APS
Virginia Other 9123953 PCI APS
Virginia Other 142975 PCI APS

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