Shostak, David A
Shostak, David A is an sole proprietor health care provider with primary practice located at 8348 Traford Lane Ste 302, Springfield VA 22152-1650. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Shostak, David A can be contacted via phone (703) 451-8816.Contact Information
Primary practice address
8348 Traford Lane Ste 302
Springfield VA 22152-1650
Phone: (703) 451-8816
Fax: (703) 451-9766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0810000940 | Virginia |
Profile Details
| NPI number | 1982663142 |
|---|---|
| LBN Legal business name | Shostak, David A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Aug 28th, 2019 - about 7 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 | 1982663142 | NPPES |
| Virginia | Other | A3370001 | CAREFIRST |
| Virginia | Other | 164270 | CAREFIRST |
| Virginia | MEDICAID | 007745061 | CAREFIRST |
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