Shotley, Spencer E

Shotley, Spencer E is an sole proprietor health care provider with primary practice located at 115 6Th Street Nw , Cass Lake MN 56633. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Shotley, Spencer E can be contacted via phone (218) 760-9257.

Contact Information

Primary practice address
115 6Th Street Nw Cass Lake MN 56633
Phone: (218) 760-9257
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302091 Minnesota

Profile Details

NPI number 1740560804
LBN Legal business name Shotley, Spencer E
Credentials LADC, CADC III
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2011
Last updated Aug 22nd, 2011 - about 14 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.

Request for update

Popular Providers