National Provider Identifier
Jared Ellis Shatkin
Jared Ellis Shatkin is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 553-4003.
Profile Overview
- NPI
- 1518609833
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 07, 2022
- Last Updated
- April 07, 2022
Practice Location
- 2500 Kensington Ave
- Buffalo, NY 14226-4927
Phone: (716) 553-4003
Mailing Address
- 89 Beresford Ct # 2007
- Buffalo, NY 14221-5955
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1518609833
- Entity Type
- Individual
- Last Name
- Shatkin
- First Name
- Jared
- Middle Name
- Ellis
- Mailing Street Address
- 89 Beresford Ct # 2007
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5955
- Mailing Country
- US
- Mailing Phone
- (716) 310-0322
- Practice Street Address
- 2500 Kensington Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14226-4927
- Practice Country
- US
- Practice Phone
- (716) 553-4003
- Enumeration Date
- April 07, 2022
- Last Updated
- April 07, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- April 07, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)