Shak, Jimmy
Shak, Jimmy is an sole proprietor health care provider with primary practice located at 2455 Route 516 Fl 1 , Old Bridge NJ 08857-1892. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Shak, Jimmy can be contacted via phone (646) 203-6960.Contact Information
Primary practice address
2455 Route 516 Fl 1
Old Bridge NJ 08857-1892
Phone: (646) 203-6960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | 22DI02796200 | New Jersey |
Profile Details
| NPI number | 1285132530 |
|---|---|
| LBN Legal business name | Shak, Jimmy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2018 |
| Last updated | May 17th, 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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