Jafry, Shahina H

Jafry, Shahina H is an individual health care provider with primary practice located at 526 W. State Street , Rockford IL 61101-1214. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Jafry, Shahina H can be contacted via phone (815) 968-9300.

Contact Information

Primary practice address
526 W. State Street Rockford IL 61101-1214
Fax: (815) 968-5314
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036105570 Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 36105570 Illinois

Profile Details

NPI number 1053383737
LBN Legal business name Jafry, Shahina H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jun 29th, 2011 - about 14 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 1053383737 NPPES
Illinois MEDICAID 036105570

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