Shollenberger, Jennifer Lynn

Shollenberger, Jennifer Lynn is an individual health care provider with primary practice located at 12 Penns Trail Suite 154, Newtown PA 18940-3438. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Shollenberger, Jennifer Lynn can be contacted via phone (215) 675-3005.

Contact Information

Primary practice address
12 Penns Trail Suite 154 Newtown PA 18940-3438
Phone: (215) 675-3005
Fax: (888) 662-0859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC004171L Pennsylvania
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00233300 New Jersey

Profile Details

NPI number 1740210210
LBN Legal business name Shollenberger, Jennifer Lynn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Aug 30th, 2012 - about 12 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 1740210210 NPPES
Pennsylvania MEDICAID 0016586610006
Pennsylvania Other 0429099000
Pennsylvania Other 965457
Pennsylvania MEDICAID 7337205
Pennsylvania Other 480023686

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