O'Hare, Shane

O'Hare, Shane is an individual health care provider with primary practice located at 111 W High St Ste 204, Elkton MD 21921-5529. 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. O'Hare, Shane can be contacted via phone (410) 620-0008.

Contact Information

Primary practice address
111 W High St Ste 204 Elkton MD 21921-5529
Phone: (410) 620-0008
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 21910 Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X 21910 Maryland

Profile Details

NPI number 1194268276
LBN Legal business name O'Hare, Shane
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2016
Last updated Sep 13th, 2018 - about 8 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 1194268276 NPPES
Maryland MEDICAID 115683700

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