Individual
DR. JOHN RICHARD SHACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
713 WILDERNESS DR., DOUGLAS, MI 49406-0140
(269) 857-8644
(269) 857-8644
Mailing address
713 WILDERNESS DRIVE, P. O. BOX 140, DOUGLAS, MI 49406-0140
(269) 857-8644
(269) 857-8644
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011374
MI
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us