Shoback, Jennifer M

Shoback, Jennifer M is an individual health care provider with primary practice located at 1155 E Mountain Blvd , Wilkes Barre PA 18702-7906. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Shoback, Jennifer M can be contacted via phone (570) 808-7916.

Contact Information

Primary practice address
1155 E Mountain Blvd Wilkes Barre PA 18702-7906
Phone: (570) 808-7916
Fax: (570) 808-6006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 001626 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X MW010463 Pennsylvania

Profile Details

NPI number 1528474905
LBN Legal business name Shoback, Jennifer M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2014
Last updated Aug 31st, 2020 - about 6 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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