Parker, Shaunielle
Parker, Shaunielle is an individual health care provider with primary practice located at 1700 Myrtle Ave 58, Plainfield NJ 07063-1000. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Parker, Shaunielle can be contacted via phone (908) 753-6401.Contact Information
Primary practice address
1700 Myrtle Ave 58
Plainfield NJ 07063-1000
Phone: (908) 753-6401
Fax: (908) 226-6743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 02245500 | New Jersey |
Profile Details
| NPI number | 1164579165 |
|---|---|
| LBN Legal business name | Parker, Shaunielle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Mar 6th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164579165 | NPPES |
| New Jersey | MEDICAID | 0306789 | |
| New Jersey | MEDICAID | 901080674A |
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