Shaver, Jill

Shaver, Jill is an individual health care provider with primary practice located at 285 2Nd Avenue Wn Suite #100, Kalispell MT 59901. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Shaver, Jill can be contacted via phone (304) 273-0112.

Contact Information

Primary practice address
285 2Nd Avenue Wn Suite #100 Kalispell MT 59901
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16383 Montana

Profile Details

NPI number 1467986216
LBN Legal business name Shaver, Jill
Credentials ACC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2017
Last updated Apr 19th, 2017 - about 9 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 1467986216 NPPES
Montana Other 16383 MONTANA BOARD OF BEHAVIORAL HEALTH

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