Shaw, Nancy E
Shaw, Nancy E is an individual health care provider with primary practice located at 91 Auburn St Ste J1008 , Portland ME 04103-6008. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Shaw, Nancy E can be contacted via phone (207) 761-2796.Contact Information
Primary practice address
91 Auburn St Ste J1008
Portland ME 04103-6008
Phone: (207) 761-2796
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | CC2192 | Maine |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CC2192 | Maine |
Profile Details
| NPI number | 1215933031 |
|---|---|
| LBN Legal business name | Shaw, Nancy E |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Dec 15th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215933031 | NPPES |
| Maine | Other | 545213000 | MAGELLAN/AETNA |
| Maine | Other | 24Z060047ME01 | MAGELLAN/AETNA |
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