Chank, Shelly M

Chank, Shelly M is an individual health care provider with primary practice located at 1040 State St , Schenectady NY 12307-1508. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Chank, Shelly M can be contacted via phone (518) 374-5353.

Contact Information

Primary practice address
1040 State St Schenectady NY 12307-1508
Fax: (518) 347-1413
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F302566-1 New York

Profile Details

NPI number 1841477536
LBN Legal business name Chank, Shelly M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2008
Last updated Dec 3rd, 2011 - about 13 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 1841477536 NPPES
New York Other 444932-1 LICENSE

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