Shutack, Ashley Rose

Shutack, Ashley Rose is an individual health care provider with primary practice located at 4 Bree Dr , Hamilton Square NJ 08690-1502. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Shutack, Ashley Rose can be contacted via phone (609) 529-3454.

Contact Information

Primary practice address
4 Bree Dr Hamilton Square NJ 08690-1502
Phone: (609) 529-3454
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1609346386
LBN Legal business name Shutack, Ashley Rose
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2018
Last updated Oct 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609346386 NPPES
New Jersey Other NJX3HZN34669260 HORIZON BLUE CROSS BLUE SHIELD

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