Eccleston, Shantel

Eccleston, Shantel is an individual health care provider with primary practice located at 12103 234Th St , Rosedale NY 11422-1026. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neonatal Intensive Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Eccleston, Shantel can be contacted via phone (347) 232-0792.

Contact Information

Primary practice address
12103 234Th St Rosedale NY 11422-1026
Phone: (347) 232-0792
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neonatal Intensive Care 163WN0002X 679343 New York
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 350494 New York

Profile Details

NPI number 1255904751
LBN Legal business name Eccleston, Shantel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2021
Last updated Jul 21st, 2021 - about 4 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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