Bingham, Shanique

Bingham, Shanique is an sole proprietor health care provider with primary practice located at 428 Columbus Avenue Podiatry, New Haven CT 06519-1233. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Bingham, Shanique can be contacted via phone (203) 503-3070.

Contact Information

Primary practice address
428 Columbus Avenue Podiatry New Haven CT 06519-1233
Phone: (203) 503-3070
Fax: (203) 503-3107
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1056 Connecticut

Profile Details

NPI number 1376925370
LBN Legal business name Bingham, Shanique
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2015
Last updated Oct 3rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376925370 NPPES
Connecticut Other 0074725 CSR

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