Shutts, William

Shutts, William is an individual health care provider with primary practice located at 1841 Madora Ave , Douglas WY 82633-3057. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Shutts, William can be contacted via phone (307) 358-2846.

Contact Information

Primary practice address
1841 Madora Ave Douglas WY 82633-3057
Phone: (307) 358-2846
Fax: (307) 358-1144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X PPC# 638 Wyoming
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LAT #351 Wyoming

Profile Details

NPI number 1932589579
LBN Legal business name Shutts, William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2015
Last updated Jun 8th, 2015 - about 11 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 1932589579 NPPES
Wyoming MEDICAID 1225003023
Wyoming MEDICAID 1932229523

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