Shaw-Wilson, Cindy Ann

Shaw-Wilson, Cindy Ann is an individual health care provider with primary practice located at 5124 Greenwich Ave , Baltimore MD 21229-2314. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Shaw-Wilson, Cindy Ann can be contacted via phone (410) 433-5255.

Contact Information

Primary practice address
5124 Greenwich Ave Baltimore MD 21229-2314
Phone: (410) 433-5255
Fax: (410) 234-0844
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCA216 Maryland

Profile Details

NPI number 1730344615
LBN Legal business name Shaw-Wilson, Cindy Ann
Credentials LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2008
Last updated Oct 12th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730344615 NPPES
Maryland MEDICAID 19524389624
Maryland MEDICAID 212150600

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