Shanahan, Jennifer J

Shanahan, Jennifer J is an sole proprietor health care provider with primary practice located at 45 Research Way , East Setauket NY 11733-6401. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Shanahan, Jennifer J can be contacted via phone (631) 941-2000.

Contact Information

Primary practice address
45 Research Way East Setauket NY 11733-6401
Phone: (631) 941-2000
Fax: (631) 941-2010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 003715-1 New York

Profile Details

NPI number 1760557425
LBN Legal business name Shanahan, Jennifer J
Credentials R.D., C.D.N.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2006
Last updated Jul 8th, 2007 - about 19 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 1760557425 NPPES
New York Other 7483317 AETNA PROVIDER NUMBER
New York Other P2640809 AETNA PROVIDER NUMBER
New York Other 0114716 AETNA PROVIDER NUMBER
New York Other AZ00898 AETNA PROVIDER NUMBER
New York Other 2269089 AETNA PROVIDER NUMBER

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