Croy, Shayne
Croy, Shayne is an sole proprietor health care provider with primary practice located at 469 Main St Ste 304 , Springvale ME 04083. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Croy, Shayne can be contacted via phone (207) 502-0056.Contact Information
Primary practice address
469 Main St Ste 304
Springvale ME 04083
Phone: (207) 502-0056
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC16296 | Maine |
Profile Details
| NPI number | 1477976397 |
|---|---|
| LBN Legal business name | Croy, Shayne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2014 |
| Last updated | Aug 14th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477976397 | NPPES |
| Maine | MEDICAID | 1164484093 |
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