Shantise Michelle LLC
Prosthetic/Orthotic Supplier in Maplewood, New Jersey
1639789340- Practice location
- 2040 Millburn Ave Ste 305, Maplewood, NJ 07040-3716
- Phone
- 973-901-3640
- Fax
- —
- Last updated
- February 9, 2024
Shantise Michelle LLC is a healthcare organization based in Maplewood, NJ. Shantise Michelle LLC practices in Maplewood, NJ. The NPI Number for Shantise Michelle LLC is 1639789340. The current practice location address for Shantise Michelle LLC is 2040 Millburn Ave Ste 305, Maplewood, NJ 07040-3716 and can be reached out via phone at 973-901-3640.
Provider Profile Details
- NPI Number
- 1639789340
- Provider Name
- Shantise Michelle LLC
- Provider Entity Type
- Organization
- Address
- 2040 Millburn Ave Ste 305, Maplewood, NJ 07040-3716
- Phone Number
- 973-901-3640
- Primary Taxonomy
- Prosthetic/Orthotic Supplier · 335E00000X
- Organization Subpart
- No
- Authorized Official
- Ms. Shantise Parker · Owner · 973-901-3640
- Other Names
- Shantise Michelle Cranial Prosthesis (Doing Business As)
- Provider Enumeration Date
- August 6, 2020
- Last Update Date
- February 9, 2024
- Certification Date
- February 9, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2040 Millburn Ave Ste 305
Maplewood, NJ 07040-3716 - City
- Maplewood
- State
- New Jersey
- Zip
- 07040-3716
- Phone Number
- 973-901-3640
Provider Business Mailing Address Details
- Address
- 2040 Millburn Ave Ste 305
Maplewood, NJ 07040-3716 - City
- Maplewood
- State
- NJ
- Zip
- 07040-3716
- Phone Number
- 973-901-3640
License Information
- Taxonomy
- Prosthetic/Orthotic Supplier · 335E00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shantise Michelle LLC?
The NPI number of Shantise Michelle LLC is 1639789340. It was assigned on August 6, 2020 and is currently active in the NPPES registry.
What is the specialty of Shantise Michelle LLC?
Shantise Michelle LLC is registered under the primary taxonomy Prosthetic/Orthotic Supplier (code 335E00000X).
Where does Shantise Michelle LLC practice?
The practice location is 2040 Millburn Ave Ste 305, Maplewood, NJ 07040-3716. The office can be reached at 973-901-3640 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639789340 directly on the NPPES registry website.