Shah, Fred Thomas Paul

Shah, Fred Thomas Paul is an sole proprietor health care provider with primary practice located at 610-A S. College Road , Wilmington NC 28403-6431. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Shah, Fred Thomas Paul can be contacted via phone (910) 796-2490.

Contact Information

Primary practice address
610-A S. College Road Wilmington NC 28403-6431
Phone: (910) 796-2490
Fax: (910) 202-9966
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 21403 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 9687 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 21403 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 9687 North Carolina

Profile Details

NPI number 1073857124
LBN Legal business name Shah, Fred Thomas Paul
Credentials LCMHC, LCASA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2012
Last updated Sep 6th, 2022 - 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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