Bancroft, Shanice Alicia

Bancroft, Shanice Alicia is an sole proprietor health care provider with primary practice located at 271 Wainwright St , Newark NJ 07112-3073. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Bancroft, Shanice Alicia can be contacted via phone (347) 712-8636.

Contact Information

Primary practice address
271 Wainwright St Newark NJ 07112-3073
Phone: (347) 712-8636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 40QB00391200 New Jersey

Profile Details

NPI number 1437819851
LBN Legal business name Bancroft, Shanice Alicia
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2021
Last updated Dec 27th, 2021 - about 5 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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