Rios, Shantella

Rios, Shantella is an sole proprietor health care provider with primary practice located at 12 Academy St , South Orange NJ 07079-1906. She recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as her primary health care specialty. Rios, Shantella can be contacted via phone (347) 933-4122.

Contact Information

Primary practice address
12 Academy St South Orange NJ 07079-1906
Phone: (347) 933-4122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1013539550
LBN Legal business name Rios, Shantella
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2020
Last updated May 6th, 2020 - about 4 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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