Shortridge, Jack L

Shortridge, Jack L is an sole proprietor health care provider with primary practice located at 5300 International Blvd Webster University, N Charleston SC 29418-6937. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Shortridge, Jack L can be contacted via phone (843) 760-1324.

Contact Information

Primary practice address
5300 International Blvd Webster University N Charleston SC 29418-6937
Phone: (843) 760-1324
Fax: (843) 760-1153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X KY-178 Kentucky
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1213 South Carolina

Profile Details

NPI number 1811103468
LBN Legal business name Shortridge, Jack L
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2007
Last updated Jul 8th, 2007 - about 19 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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