Shaw, Cody Eugene
Shaw, Cody Eugene is an individual health care provider with primary practice located at Numi Trout Ave Building 83, Groton CT 06340. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Shaw, Cody Eugene can be contacted via phone (860) 694-2876.Contact Information
Primary practice address
Numi Trout Ave Building 83
Groton CT 06340
Phone: (860) 694-2876
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1063973790 |
|---|---|
| LBN Legal business name | Shaw, Cody Eugene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2019 |
| Last updated | Mar 26th, 2019 - about 5 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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