Shaw, Jacquelyn

Shaw, Jacquelyn is an individual health care provider with primary practice located at 214 Terrace Avenue , Hasbrouck Heights NJ 07604. She recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as her primary health care specialty. Shaw, Jacquelyn can be contacted via phone (201) 288-6330.

Contact Information

Primary practice address
214 Terrace Avenue Hasbrouck Heights NJ 07604
Phone: (201) 288-6330
Fax: (201) 288-6331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X MA55112 New Jersey

Profile Details

NPI number 1720187347
LBN Legal business name Shaw, Jacquelyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Feb 23rd, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720187347 NPPES
New Jersey Other 74437 GREAT WEST
New Jersey Other 2043630 GREAT WEST
New Jersey Other 1528267 GREAT WEST
New Jersey Other 2749N1 GREAT WEST
New Jersey Other 5180001 GREAT WEST
New Jersey Other 8217906 GREAT WEST
New Jersey Other P2884936 GREAT WEST
New Jersey Other 820584930 GREAT WEST
New Jersey Other J30559 GREAT WEST

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