Master, Shahena
Master, Shahena is an individual health care provider with primary practice located at 74 Mack St , Windsor CT 06095-2759. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Master, Shahena can be contacted via phone (860) 298-8830.Contact Information
Primary practice address
74 Mack St
Windsor CT 06095-2759
Phone: (860) 298-8830
Fax: (860) 298-9929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 000535 | Connecticut |
Profile Details
| NPI number | 1174522973 |
|---|---|
| LBN Legal business name | Master, Shahena |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Jul 14th, 2014 - about 10 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 | 1174522973 | NPPES |
| Connecticut | MEDICAID | 001005356 |
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