Cowper, Shawn Edwin

Cowper, Shawn Edwin is an individual health care provider with primary practice located at 15 York St , New Haven CT 06510-3221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Cowper, Shawn Edwin can be contacted via phone (203) 785-4091.

Contact Information

Primary practice address
15 York St New Haven CT 06510-3221
Fax: (203) 785-6869
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 039638 Connecticut

Profile Details

NPI number 1396736773
LBN Legal business name Cowper, Shawn Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jun 26th, 2008 - about 16 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 1396736773 NPPES
Connecticut MEDICAID 001396383

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