Welner, Shannon L

Welner, Shannon L is an individual health care provider with primary practice located at 60 Pompton Ave , Verona NJ 07044-2946. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Welner, Shannon L can be contacted via phone (973) 571-2121.

Contact Information

Primary practice address
60 Pompton Ave Verona NJ 07044-2946
Fax: (973) 571-2126
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 25MP00146000 New Jersey

Profile Details

NPI number 1497966980
LBN Legal business name Welner, Shannon L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
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 1497966980 NPPES
New Jersey Other 1962428474 GROUP NPI NUMBER
New Jersey Other 25MP00146000 GROUP NPI NUMBER

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