Shen, Jack

Shen, Jack is an individual health care provider with primary practice located at 2500 Hospital Blvd Ste 440 , Roswell GA 30076-4919. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Shen, Jack can be contacted via phone (770) 663-4649.

Contact Information

Primary practice address
2500 Hospital Blvd Ste 440 Roswell GA 30076-4919
Phone: (770) 663-4649
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35.138941 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 92491 Georgia

Profile Details

NPI number 1639523574
LBN Legal business name Shen, Jack
Credentials M.D., M.B.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2016
Last updated Aug 17th, 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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