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Jared Ellis Shatkin
Student in an Organized Health Care Education/Training Program in Buffalo, New York
NPI 1518609833

Jared Ellis Shatkin is a Student in an Organized Health Care Education/Training Program based in Buffalo, NY. Jared Ellis Shatkin practices in Buffalo, NY. The NPI Number for Jared Ellis Shatkin is 1518609833 and holds a License No. (New York).

The current practice location address for Jared Ellis Shatkin is 2500 Kensington Ave, Buffalo, NY and can be reached out via phone at 716-553-4003.

Location: 2500 Kensington Ave, Buffalo, NY, 14221-5955
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518609833
Provider Name
Jared Ellis Shatkin
Credential
Provider Entity Type
Individual
Gender
Male
Address
2500 Kensington Ave, Buffalo, NY, 14221-5955
Phone Number
716-553-4003
Fax Number
Provider Enumeration Date
04/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2500 Kensington Ave
City
Buffalo
State
New York
Zip
14226-4927
Phone Number
716-553-4003
Fax Number
person
Provider Business Mailing Address Details
Address
2500 Kensington Ave
City
Buffalo
State
New York
Zip
14226-4927
Phone Number
716-553-4003
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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