Shevelev, Irene

Shevelev, Irene is an individual health care provider with primary practice located at 201 East Franklin Turnpike , Ho Ho Kus NJ 07423-1515. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shevelev, Irene can be contacted via phone (201) 652-1888.

Contact Information

Primary practice address
201 East Franklin Turnpike Ho Ho Kus NJ 07423-1515
Phone: (201) 652-1888
Fax: (201) 652-6485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA04586100 New Jersey

Profile Details

NPI number 1477639615
LBN Legal business name Shevelev, Irene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 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 1477639615 NPPES
New Jersey MEDICAID 0850306

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