Khulusi, Shannon

Khulusi, Shannon is an individual health care provider with primary practice located at 142 State Route 35 S , Eatontown NJ 07724-1876. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Khulusi, Shannon can be contacted via phone (732) 389-5004.

Contact Information

Primary practice address
142 State Route 35 S Eatontown NJ 07724-1876
Phone: (732) 389-5004
Fax: (732) 389-1850
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26NJ00061500 New Jersey

Profile Details

NPI number 1932240603
LBN Legal business name Khulusi, Shannon
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Dec 2nd, 2009 - about 17 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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