Omar, Khalid Shafie

Omar, Khalid Shafie is an individual health care provider with primary practice located at 4236 Park Glen Rd , Saint Louis Park MN 55416-4758. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Omar, Khalid Shafie can be contacted via phone (952) 888-7055.

Contact Information

Primary practice address
4236 Park Glen Rd Saint Louis Park MN 55416-4758
Phone: (952) 888-7055
Fax: (612) 605-3312
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1306430657
LBN Legal business name Omar, Khalid Shafie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2021
Last updated Feb 26th, 2021 - about 4 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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