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Contact Information

JACQUELINE SHANAHAN, D.O
3670 S BENZING RD
ORCHARD PARK, NY14127
 Phone: 716-662-5357
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JACQUELINE SHANAHAN · (Female)

NPI Number 1104072701
Status Active
Credentials D.O
Entity Individual
Enumeration date 08/14/2008
Last updated 12/13/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 280972
Hospital affiliation(s)
  • BERTRAND CHAFFEE HOSPITAL - (Acute Care)
    224 EAST MAIN STREET
    SPRINGVILLE, NY 14141
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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