Shaw, Amanda

Shaw, Amanda is an sole proprietor health care provider with primary practice located at 1012 Broad St , Bloomfield NJ 07003-2807. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shaw, Amanda can be contacted via phone (973) 338-1244.

Contact Information

Primary practice address
1012 Broad St Bloomfield NJ 07003-2807
Phone: (973) 338-1244
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05879200 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1851934475
LBN Legal business name Shaw, Amanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2019
Last updated Jan 24th, 2020 - about 6 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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