Staedtler, Shane
Staedtler, Shane is an individual health care provider with primary practice located at 650 Huebner Rd , Fort Riley KS 66442-4030. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Staedtler, Shane can be contacted via phone (785) 239-7000.Contact Information
Primary practice address
650 Huebner Rd
Fort Riley KS 66442-4030
Phone: (785) 239-7000
Fax: (630) 570-5779
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 4032 | Kansas |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 125 | Kansas |
Profile Details
| NPI number | 1730385006 |
|---|---|
| LBN Legal business name | Staedtler, Shane |
| Credentials | LSCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2007 |
| Last updated | Jul 11th, 2023 - about 3 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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