Shimer, John Mcgowan

Shimer, John Mcgowan is an sole proprietor health care provider with primary practice located at 42 Pleasant St , Newburyport MA 01950-2606. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Shimer, John Mcgowan can be contacted via phone (978) 465-3226.

Contact Information

Primary practice address
42 Pleasant St Newburyport MA 01950-2606
Fax: (978) 465-3226
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3804 Massachusetts

Profile Details

NPI number 1356499024
LBN Legal business name Shimer, John Mcgowan
Credentials D.MIN.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356499024 NPPES
Massachusetts Other 1890930 MBHP
Massachusetts Other 6969-01 MBHP
Massachusetts MEDICAID 0516716 MBHP
Massachusetts Other W04090 MBHP
Massachusetts Other 539827000 MBHP

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