Stachel, Jennifer Shannon

Stachel, Jennifer Shannon is an sole proprietor health care provider with primary practice located at 500 Portion Rd , Lake Ronkonkoma NY 11779-4587. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Stachel, Jennifer Shannon can be contacted via phone (631) 588-1199.

Contact Information

Primary practice address
500 Portion Rd Lake Ronkonkoma NY 11779-4587
Phone: (631) 588-1199
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 50053294 New York

Profile Details

NPI number 1326221094
LBN Legal business name Stachel, Jennifer Shannon
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2007
Last updated Dec 17th, 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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