Wojtaszczyk, Shelley Jakeman

Wojtaszczyk, Shelley Jakeman is an individual health care provider with primary practice located at 3435 Bailey Ave , Buffalo NY 14215-1145. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wojtaszczyk, Shelley Jakeman can be contacted via phone (716) 835-2966.

Contact Information

Primary practice address
3435 Bailey Ave Buffalo NY 14215-1145
Phone: (716) 835-2966
Fax: (716) 834-3901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F331617-1 New York

Profile Details

NPI number 1326034752
LBN Legal business name Wojtaszczyk, Shelley Jakeman
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated May 12th, 2008 - about 18 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 1326034752 NPPES
New York MEDICAID 01705339

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