Shaw, Tony C

Shaw, Tony C is an sole proprietor health care provider with primary practice located at 102 6Th Ave Ne Ste B , Glen Burnie MD 21060-6869. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Shaw, Tony C can be contacted via phone (410) 352-7514.

Contact Information

Primary practice address
102 6Th Ave Ne Ste B Glen Burnie MD 21060-6869
Phone: (410) 352-7514
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC11938 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC11938 Maryland

Profile Details

NPI number 1730791609
LBN Legal business name Shaw, Tony C
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2020
Last updated Jul 1st, 2022 - 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.

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