Brown, Shaniequa

Brown, Shaniequa is an individual health care provider with primary practice located at 153 Bull Hill Ln Suite 321, West Haven CT 06516-3928. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Brown, Shaniequa can be contacted via phone (999) 999-9999.

Contact Information

Primary practice address
153 Bull Hill Ln Suite 321 West Haven CT 06516-3928
Phone: (999) 999-9999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1170 Connecticut

Profile Details

NPI number 1548633183
LBN Legal business name Brown, Shaniequa
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2015
Last updated Aug 8th, 2016 - about 9 years ago

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 1548633183 NPPES
Connecticut Other 008062470 BROWN MEDICAID #

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