Shin, Pheodora
Shin, Pheodora is an individual health care provider with primary practice located at 100 Madison Ave , Morristown NJ 07960-6136. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Shin, Pheodora can be contacted via phone (800) 991-9133.Contact Information
Primary practice address
100 Madison Ave
Morristown NJ 07960-6136
Phone: (800) 991-9133
Fax: (201) 943-8733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MA062874 | New Jersey |
Profile Details
| NPI number | 1326020355 |
|---|---|
| LBN Legal business name | Shin, Pheodora |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326020355 | NPPES |
| New Jersey | MEDICAID | 6710107 |
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