Shein, Jeffrey David

Shein, Jeffrey David is an individual health care provider with primary practice located at 24511 West Jayne Avenue , Coalinga CA 93210. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Forensic is his primary health care specialty. Shein, Jeffrey David can be contacted via phone (559) 935-4300.

Contact Information

Primary practice address
24511 West Jayne Avenue Coalinga CA 93210
Phone: (559) 935-4300
Fax: (559) 935-4308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY11865 California
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY11865 California

Profile Details

NPI number 1114070240
LBN Legal business name Shein, Jeffrey David
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2007
Last updated Oct 25th, 2013 - about 12 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 1114070240 NPPES
California MEDICAID PSY118650

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