Shaba, Jennifer Jane

Shaba, Jennifer Jane is an sole proprietor health care provider with primary practice located at 5600 W Maple Rd Ste A120 , West Bloomfield MI 48322-3782. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Shaba, Jennifer Jane can be contacted via phone (248) 847-3372.

Contact Information

Primary practice address
5600 W Maple Rd Ste A120 West Bloomfield MI 48322-3782
Phone: (248) 847-3372
Fax: (248) 243-8963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 4901004524 Michigan
Eye and Vision Services Providers / Optometrist 152W00000X 4901004524 Michigan

Profile Details

NPI number 1508095464
LBN Legal business name Shaba, Jennifer Jane
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2009
Last updated Apr 11th, 2023 - about last year

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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