Shin, David

Shin, David is an individual health care provider with primary practice located at 2175 Lemoine Ave Fl 6 , Fort Lee NJ 07024-6008. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Shin, David can be contacted via phone (866) 722-3338.

Contact Information

Primary practice address
2175 Lemoine Ave Fl 6 Fort Lee NJ 07024-6008
Phone: (866) 722-3338
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1366112526
LBN Legal business name Shin, David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2021
Last updated Jan 26th, 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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