Short, Andrew
Short, Andrew is an sole proprietor health care provider with primary practice located at 180 Providence Rd Ste 2, Chapel Hill NC 27514-2206. He recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Short, Andrew can be contacted via phone (919) 493-3376.Contact Information
Primary practice address
180 Providence Rd Ste 2
Chapel Hill NC 27514-2206
Phone: (919) 493-3376
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0911 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 911 | North Carolina |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 911 | North Carolina |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 911 | North Carolina |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 911 | North Carolina |
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | 911 | North Carolina |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 911 | North Carolina |
Profile Details
| NPI number | 1497843163 |
|---|---|
| LBN Legal business name | Short, Andrew |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Mar 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497843163 | NPPES |
| North Carolina | MEDICAID | 6000132 |
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