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Contact Information

JENNIFER L SHOTWELL
462 GRIDER ST
BUFFALO, NY14215-3021
 Phone: 716-898-4040
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Computed Tomography Radiologic Technologist

2471C3401X
 

Magnetic Resonance Imaging Radiologic Technologist

2471M1202X
Indicates primary specialty

NPI Profile & details for JENNIFER L SHOTWELL · (Female)

NPI Number 1548785140
Status Active
Credentials
Entity Individual
Enumeration date 08/04/2017
Last updated 08/04/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 589674
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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