Shaw, Scott D.

Shaw, Scott D. is an individual health care provider with primary practice located at 3501 Lake Eastbrook Blvd Se Suite 280, Grand Rapids MI 49546-5938. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Shaw, Scott D. can be contacted via phone (616) 942-7331.

Contact Information

Primary practice address
3501 Lake Eastbrook Blvd Se Suite 280 Grand Rapids MI 49546-5938
Phone: (616) 942-7331
Fax: (616) 942-8807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401007864 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801081490 Michigan

Profile Details

NPI number 1801945324
LBN Legal business name Shaw, Scott D.
Credentials D.MIN.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jul 8th, 2007 - about 19 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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