Shantise Michelle LLC
Shantise Michelle LLC is a Prosthetic/Orthotic Supplier in Maplewood, New Jersey. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2040 Millburn Ave Ste 305Maplewood, NJ 07040-3716
Phone: (973) 901-3640
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X |
|---|
Record details
| NPI number | 1639789340 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shantise Parker — Owner · (973) 901-3640 |
| Other names | Shantise Michelle Cranial Prosthesis |
| NPI enumerated | August 6, 2020 |
| Last updated in NPPES | February 9, 2024 |
| Certification date | February 9, 2024 |
| Mailing address | 2040 Millburn Ave Ste 305, Maplewood, NJ 07040-3716 |
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Shantise Parker
2040 Millburn Ave Ste 305, Maplewood, NJ 07040-3716 · (973) 901-3640