Jiang, Shan Shan
Jiang, Shan Shan is an individual health care provider with primary practice located at 11245 Huron St , Westminster CO 80234-2806. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Jiang, Shan Shan can be contacted via phone (303) 338-4545.Contact Information
Primary practice address
11245 Huron St
Westminster CO 80234-2806
Phone: (303) 338-4545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 55683 | Colorado |
Profile Details
| NPI number | 1710276209 |
|---|---|
| LBN Legal business name | Jiang, Shan Shan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2011 |
| Last updated | Jun 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710276209 | NPPES |
| Colorado | Other | 028993 | KAISER COMMERCIAL NUMBER |
| Colorado | MEDICAID | 15770061 | KAISER COMMERCIAL NUMBER |
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