Shain, Michael P.

Shain, Michael P. is an sole proprietor health care provider with primary practice located at 12600 Creekside Ln Ste 7 , Fort Myers FL 33919-3353. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Shain, Michael P. can be contacted via phone (239) 343-9220.

Contact Information

Primary practice address
12600 Creekside Ln Ste 7 Fort Myers FL 33919-3353
Phone: (239) 343-9220
Fax: (239) 343-9231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY8801 Florida
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY8801 Florida

Profile Details

NPI number 1902898471
LBN Legal business name Shain, Michael P.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2005
Last updated Feb 27th, 2024 - about 2 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 1902898471 NPPES
Indiana MEDICAID 100323640D
Indiana MEDICAID 100323640A
Indiana MEDICAID 101839200
Indiana Other 680005356

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