Jafry, Shahina H
Jafry, Shahina H is an individual health care provider with primary practice located at 526 W. State Street , Rockford IL 61101-1214. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Jafry, Shahina H can be contacted via phone (815) 968-9300.Contact Information
Primary practice address
526 W. State Street
Rockford IL 61101-1214
Phone: (815) 968-9300
Fax: (815) 968-5314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036105570 | Illinois |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 36105570 | Illinois |
Profile Details
| NPI number | 1053383737 |
|---|---|
| LBN Legal business name | Jafry, Shahina H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Jun 29th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053383737 | NPPES |
| Illinois | MEDICAID | 036105570 |
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