Stachel, Jennifer Shannon
Stachel, Jennifer Shannon is an sole proprietor health care provider with primary practice located at 500 Portion Rd , Lake Ronkonkoma NY 11779-4587. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Stachel, Jennifer Shannon can be contacted via phone (631) 588-1199.Contact Information
Primary practice address
500 Portion Rd
Lake Ronkonkoma NY 11779-4587
Phone: (631) 588-1199
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 50053294 | New York |
Profile Details
NPI number | 1326221094 |
---|---|
LBN Legal business name | Stachel, Jennifer Shannon |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 17th, 2007 |
Last updated | Dec 17th, 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.
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