Shallat, John E

Shallat, John E is an sole proprietor health care provider with primary practice located at 1930 Deer Park Ave , Deer Park NY 11729-3328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Shallat, John E can be contacted via phone (631) 254-5900.

Contact Information

Primary practice address
1930 Deer Park Ave Deer Park NY 11729-3328
Phone: (631) 254-5900
Fax: (631) 392-0948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 219990-1 New York

Profile Details

NPI number 1538379599
LBN Legal business name Shallat, John E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Dec 6th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538379599 NPPES
New York MEDICAID 02322681

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