Jackson, Shonda Renne

Jackson, Shonda Renne is an sole proprietor health care provider with primary practice located at 1400 Woodland Ave , Plainfield NJ 07060-3362. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Jackson, Shonda Renne can be contacted via phone (908) 753-1113.

Contact Information

Primary practice address
1400 Woodland Ave Plainfield NJ 07060-3362
Phone: (908) 753-1113
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA46TA09032200 New Jersey

Profile Details

NPI number 1528360948
LBN Legal business name Jackson, Shonda Renne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2010
Last updated Nov 18th, 2010 - about 15 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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