Carter-Shaw, Lois

Carter-Shaw, Lois is an individual health care provider with primary practice located at 4545 Georgetown Pl Ste A3 , Stockton CA 95207-6228. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Carter-Shaw, Lois can be contacted via phone (209) 479-5429.

Contact Information

Primary practice address
4545 Georgetown Pl Ste A3 Stockton CA 95207-6228
Phone: (209) 479-5429
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X MPSS-VNMTRX California

Profile Details

NPI number 1629403829
LBN Legal business name Carter-Shaw, Lois
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2013
Last updated Oct 2nd, 2023 - about 3 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 1629403829 NPPES
California Other 101YA0400X BEHAVIORAL HEALTH AND SOCIAL SERVICES PROVIDER

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