Chaney, Jennifer

Chaney, Jennifer is an individual health care provider with primary practice located at 703 Broad St Ste A201 , Shrewsbury NJ 07702-4219. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Chaney, Jennifer can be contacted via phone (732) 796-4609.

Contact Information

Primary practice address
703 Broad St Ste A201 Shrewsbury NJ 07702-4219
Phone: (732) 796-4609
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05310300 New Jersey

Profile Details

NPI number 1215964879
LBN Legal business name Chaney, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Feb 10th, 2021 - about 5 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 1215964879 NPPES
Rhode Island MEDICAID JC31799
Rhode Island Other 408455
Rhode Island Other 62-94822
Rhode Island Other 30155-6

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