Shaw, Khani J

Shaw, Khani J is an sole proprietor health care provider with primary practice located at 801 Carnegie Ct , Locust Grove GA 30248-2575. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator, Agencies / Case Management. Agencies / Case Management is his primary health care specialty. Shaw, Khani J can be contacted via phone (470) 343-0773.

Contact Information

Primary practice address
801 Carnegie Ct Locust Grove GA 30248-2575
Phone: (470) 343-0773
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Case Management 251B00000X

Profile Details

NPI number 1396500237
LBN Legal business name Shaw, Khani J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2024
Last updated Feb 20th, 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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