Clancy, Shelley Joan

Clancy, Shelley Joan is an sole proprietor health care provider with primary practice located at 105 Roseland Ave Unit 901, Caldwell NJ 07006-5943. She recently has only one registered license in Nursing Service Providers / Lactation Consultant, which is considered as her primary health care specialty. Clancy, Shelley Joan can be contacted via phone (201) 739-4058.

Contact Information

Primary practice address
105 Roseland Ave Unit 901 Caldwell NJ 07006-5943
Phone: (201) 739-4058
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Lactation Consultant 163WL0100X 108-72946 New Jersey
Nursing Service Providers / Lactation Consultant 163WL0100X 541810-1 New York
Nursing Service Providers / Lactation Consultant 163WL0100X 26NR06350900 New Jersey

Profile Details

NPI number 1417200502
LBN Legal business name Clancy, Shelley Joan
Credentials RN, BSN, IBCLC,RLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2012
Last updated Oct 26th, 2012 - about 14 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 1417200502 NPPES
New York Other 12455215 CAQH

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