Shah, Atul M
Shah, Atul M is an sole proprietor health care provider with primary practice located at 600 Pavonia Ave , Jersey City NJ 07306-2929. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Shah, Atul M can be contacted via phone (201) 216-9666.Contact Information
Primary practice address
600 Pavonia Ave
Jersey City NJ 07306-2929
Phone: (201) 216-9666
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 5016 | New Jersey |
Profile Details
| NPI number | 1619012341 |
|---|---|
| LBN Legal business name | Shah, Atul M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1619012341 | NPPES |
| New Jersey | MEDICAID | 6479201 |
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