Jasper, Shan

Jasper, Shan is an sole proprietor health care provider with primary practice located at 1355 E Black Diamond Dr , Gilbert AZ 85296-3718. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Phlebotomy, Dietary & Nutritional Service Providers / Nutritionist. Dietary & Nutritional Service Providers / Nutritionist is his primary health care specialty. Jasper, Shan can be contacted via phone (480) 228-2175.

Contact Information

Primary practice address
1355 E Black Diamond Dr Gilbert AZ 85296-3718
Phone: (480) 228-2175
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1053991091
LBN Legal business name Jasper, Shan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2021
Last updated Apr 13th, 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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