Shen, Jack
Shen, Jack is an individual health care provider with primary practice located at 2500 Hospital Blvd Ste 440 , Roswell GA 30076-4919. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Shen, Jack can be contacted via phone (770) 663-4649.Contact Information
Primary practice address
2500 Hospital Blvd Ste 440
Roswell GA 30076-4919
Phone: (770) 663-4649
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 35.138941 | Ohio |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 92491 | Georgia |
Profile Details
| NPI number | 1639523574 |
|---|---|
| LBN Legal business name | Shen, Jack |
| Credentials | M.D., M.B.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2016 |
| Last updated | Aug 17th, 2022 - about 4 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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