Shoots, David

Shoots, David is an sole proprietor health care provider with primary practice located at 140 South Beach , Daytona Beach FL 32114-4385. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shoots, David can be contacted via phone (386) 747-2331.

Contact Information

Primary practice address
140 South Beach Daytona Beach FL 32114-4385
Phone: (386) 747-2331
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW6973 Florida

Profile Details

NPI number 1013043900
LBN Legal business name Shoots, David
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Nov 15th, 2017 - about 7 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 1013043900 NPPES
Florida MEDICAID 764418300

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