Smith, Shontae

Smith, Shontae is an individual health care provider with primary practice located at 875 Mantua Pike , Woodbury NJ 08096. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Smith, Shontae can be contacted via phone (856) 384-5949.

Contact Information

Primary practice address
875 Mantua Pike Woodbury NJ 08096
Phone: (856) 384-5949
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA056299 Pennsylvania

Profile Details

NPI number 1952730970
LBN Legal business name Smith, Shontae
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2013
Last updated Aug 31st, 2018 - about 6 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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