Shadoan, James Mark

Shadoan, James Mark is an individual health care provider with primary practice located at 2811 Linkhorne Dr Ste B, Lynchburg VA 24503-3321. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Shadoan, James Mark can be contacted via phone (434) 384-1594.

Contact Information

Primary practice address
2811 Linkhorne Dr Ste B Lynchburg VA 24503-3321
Phone: (434) 384-1594
Fax: (434) 384-3228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 0904001247 Virginia

Profile Details

NPI number 1578674842
LBN Legal business name Shadoan, James Mark
Credentials ED.D
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 18 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 1578674842 NPPES
Virginia Other 326052 ANTHEM

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