Shiflet, John Allen

Shiflet, John Allen is an sole proprietor health care provider with primary practice located at 1709 N Fm 179 , Lubbock TX 79416. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Shiflet, John Allen can be contacted via phone (806) 780-8300.

Contact Information

Primary practice address
1709 N Fm 179 Lubbock TX 79416
Fax: (806) 780-8383
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 06087195 Vermont

Profile Details

NPI number 1114287992
LBN Legal business name Shiflet, John Allen
Credentials LCDCI
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2012
Last updated May 25th, 2012 - about 14 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 1114287992 NPPES
Texas MEDICAID 065363601

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