Putnam, Shawn Robert

Putnam, Shawn Robert is an individual health care provider with primary practice located at 440 New Britain Ave , Plainville CT 06062-2036. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Putnam, Shawn Robert can be contacted via phone (860) 793-0500.

Contact Information

Primary practice address
440 New Britain Ave Plainville CT 06062-2036
Phone: (860) 793-0500
Fax: (860) 793-1116
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 257127 Massachusetts

Profile Details

NPI number 1033150719
LBN Legal business name Putnam, Shawn Robert
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Jan 29th, 2010 - about 15 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 1033150719 NPPES
Connecticut Other 3V3059 HEALTHNET PROVIDER #
Connecticut Other 1033150719 HEALTHNET PROVIDER #

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