Shantise Michelle Cranial Prosthesis

LBN: Shantise Michelle Llc
Shantise Michelle Cranial Prosthesis is an health care organization with primary practice located at 2040 Millburn Ave Ste 305 , Maplewood NJ 07040-3716. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Shantise Michelle Llc can be contacted via phone (973) 901-3640, or through Parker, Shantise via phone (973) 901-3640.

Contact Information

Primary practice address
2040 Millburn Ave Ste 305 Maplewood NJ 07040-3716
Phone: (973) 901-3640
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Parker, Shantise
Phone: (973) 901-3640

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1639789340
LBN Legal business name Shantise Michelle Llc
DBA Doing business as Shantise Michelle Cranial Prosthesis
Authorized official Parker, Shantise
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2020
Last updated Feb 9th, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers