Shaughnessy, Michael Walter

Shaughnessy, Michael Walter is an sole proprietor health care provider with primary practice located at 7511 Little Rd Suite 101, New Port Richey FL 34654-5531. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Shaughnessy, Michael Walter can be contacted via phone (941) 544-2175.

Contact Information

Primary practice address
7511 Little Rd Suite 101 New Port Richey FL 34654-5531
Phone: (941) 544-2175
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH9936 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1255300380
LBN Legal business name Shaughnessy, Michael Walter
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Apr 23rd, 2014 - about 12 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 1255300380 NPPES
Florida Other 12349095 CAQH PROVIDER ID

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