Driesman, Shelley K
Driesman, Shelley K is an individual health care provider with primary practice located at 2371 Black Rock Tpke , Fairfield CT 06825. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Driesman, Shelley K can be contacted via phone (203) 371-0141.Contact Information
Primary practice address
2371 Black Rock Tpke
Fairfield CT 06825
Phone: (203) 371-0141
Fax: (203) 371-6585
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25509 | Connecticut |
Profile Details
| NPI number | 1861509994 |
|---|---|
| LBN Legal business name | Driesman, Shelley K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | May 12th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861509994 | NPPES |
| Connecticut | MEDICAID | 1255090 |
Popular Providers
-
Tiedemann, Laura
1375 Kings Hwy Ste 301 , Fairfield CT 06824-5396 -
Ryser, David F
2251 Dubois Dr , Warsaw IN 46580-3212 -
Stein, Jonathan
75 Kings Highway Cutoff , Fairfield CT 06824-5340 -
Bullwinkel, George A
22 Barrister Ln , Fairfield CT 06824-7824 -
Park, Elisse
2371 Black Rock Turnpike , Fairfield CT 06825 -
Wesson, Matthew
3353 N Gloster St , Tupelo MS 38804-9735 -
Small, Peter Alan
2119 Post Rd , Fairfield CT 06824-5657 -
Habib, Larissa Ann
1817 Black Rock Tpke Ste 204 , Fairfield CT 06825-3546