Shore, William

Shore, William is an individual health care provider with primary practice located at 3720 Farragut Ave Ste 103, Kensington MD 20895-2110. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Shore, William can be contacted via phone (301) 934-8811.

Contact Information

Primary practice address
3720 Farragut Ave Ste 103 Kensington MD 20895-2110
Phone: (301) 934-8811
Fax: (301) 934-9321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2282 Maryland

Profile Details

NPI number 1487650404
LBN Legal business name Shore, William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jul 9th, 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 1487650404 NPPES
Maryland Other 001089 VALUE OPTIONS
Maryland Other H1630001 VALUE OPTIONS
Maryland Other 412350 VALUE OPTIONS
Maryland Other 2282 VALUE OPTIONS
Maryland MEDICAID 254102500 VALUE OPTIONS
Maryland Other 458821000 VALUE OPTIONS
Maryland Other 52475204 VALUE OPTIONS

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