Shin, David

Shin, David is an individual health care provider with primary practice located at 360 Essex St Suite 403, Hackensack NJ 07601-8550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Shin, David can be contacted via phone (551) 996-8090.

Contact Information

Primary practice address
360 Essex St Suite 403 Hackensack NJ 07601-8550
Phone: (551) 996-8090
Fax: (551) 996-8221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 25MA07773400 New Jersey

Profile Details

NPI number 1558320994
LBN Legal business name Shin, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Dec 10th, 2014 - about 10 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 1558320994 NPPES
New Jersey MEDICAID 7586205

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