Provider Information for 1245409689
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Ms. ELLEN KATHERINE SHAFER-LIND LMSW
Other Names:Former Name:Mrs. ELLEN KATHERINE SHAFER LMSWSex: Female
NPI: 1245409689
Last Updated: 2014-08-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1245409689 | ||||||||||||
| Enumeration Date | 2008-02-28 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2222 2ND AVE SUITE 801 BOX 8 KEARNEY, NE 68847-5354 United States Phone: 308-999-9500 | Fax: | ||||||||||||
| Primary Practice Address | 2222 2ND AVE SUITE 801 BOX 8 KEARNEY, NE 68847-5354 United States Phone: 308-999-9500 | Fax: | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|