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Individual
DR. JENNIFER LYNN SHOLLENBERGER
Active
Individual
DR. JENNIFER LYNN SHOLLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
25MD00233300
NJ
213E00000X
Podiatrist
Primary
SC004171L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016586610006
—
PA
01
—
0429099000
KEYSTONE HEALTH PLAN EAST
PA
01
—
480023686
MEDICARE RAILROAD
PA
05
—
7337205
—
NJ
01
—
965457
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/03/2006
Last updated
08/30/2012
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