Mccurdy, Shane D.

Mccurdy, Shane D. is an individual health care provider with primary practice located at 9415 E Harry St Ste 306, Wichita KS 67207-5077. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mccurdy, Shane D. can be contacted via phone (316) 202-2110.

Contact Information

Primary practice address
9415 E Harry St Ste 306 Wichita KS 67207-5077
Phone: (316) 202-2110
Fax: (316) 226-8648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 5670 Kansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3811 Kansas

Profile Details

NPI number 1558309765
LBN Legal business name Mccurdy, Shane D.
Credentials LSCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Aug 6th, 2021 - about 5 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 1558309765 NPPES
Kansas Other 201443 BLUE CROSS BLUE SHIELD
Kansas Other 8966 BLUE CROSS BLUE SHIELD

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