Itjen, Shannon Alys

Itjen, Shannon Alys is an individual health care provider with primary practice located at 611 Us Highway 46 W Ste 100 , Hasbrouck Heights NJ 07604-3120. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Itjen, Shannon Alys can be contacted via phone (201) 478-4175.

Contact Information

Primary practice address
611 Us Highway 46 W Ste 100 Hasbrouck Heights NJ 07604-3120
Phone: (201) 478-4175
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 44SL06535000 New Jersey

Profile Details

NPI number 1770291411
LBN Legal business name Itjen, Shannon Alys
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2022
Last updated Nov 11th, 2022 - about 3 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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