Shornick, Jeffrey K

Shornick, Jeffrey K is an individual health care provider with primary practice located at 18 Old Etna Rd Dhmc - Dermatology, Lebanon NH 03766-1937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Shornick, Jeffrey K can be contacted via phone (603) 650-3100.

Contact Information

Primary practice address
18 Old Etna Rd Dhmc - Dermatology Lebanon NH 03766-1937
Phone: (603) 650-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 023320 Connecticut
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 16806 New Hampshire

Profile Details

NPI number 1023089711
LBN Legal business name Shornick, Jeffrey K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Feb 8th, 2017 - about 9 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 1023089711 NPPES
Connecticut MEDICAID 001233204

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