Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jared Ellis Shatkin

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518609833

Jared Ellis Shatkin is a Student in an Organized Health Care Education/Training Program in Buffalo, New York. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

2500 Kensington Ave
Buffalo, NY 14226-4927
Phone: (716) 553-4003
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1518609833
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 7, 2022
Last updated in NPPESApril 7, 2022
Certification dateApril 7, 2022
Mailing address89 Beresford Ct # 2007, Buffalo, NY 14221-5955

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