Kettyle, Shawna Marie
Kettyle, Shawna Marie is an sole proprietor health care provider with primary practice located at 2800 Main St Dept Of , Bridgeport CT 06606. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Kettyle, Shawna Marie can be contacted via phone (203) 576-6000.Contact Information
Primary practice address
2800 Main St Dept Of
Bridgeport CT 06606
Phone: (203) 576-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 61673 | Connecticut |
Profile Details
| NPI number | 1811253321 |
|---|---|
| LBN Legal business name | Kettyle, Shawna Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 9th, 2012 |
| Last updated | Jul 27th, 2018 - about 6 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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