Ravine, Shelli Lynn
Ravine, Shelli Lynn is an individual health care provider with primary practice located at 1722 New Bedford Rd , Wall Township NJ 07719-3867. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ravine, Shelli Lynn can be contacted via phone (732) 971-1400.Contact Information
Primary practice address
1722 New Bedford Rd
Wall Township NJ 07719-3867
Phone: (732) 971-1400
Fax: (732) 974-2121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 270A00453000 | New Jersey |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27T000033700 | New Jersey |
Profile Details
| NPI number | 1366439077 |
|---|---|
| LBN Legal business name | Ravine, Shelli Lynn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Mar 18th, 2008 - about 16 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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