Shaw, Richard K

Shaw, Richard K is an individual health care provider with primary practice located at 12 Villa Rosa Ter , Milford CT 06460-7915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Shaw, Richard K can be contacted via phone (203) 882-8380.

Contact Information

Primary practice address
12 Villa Rosa Ter Milford CT 06460-7915
Fax: (203) 882-8384
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 018088 Connecticut

Profile Details

NPI number 1437167772
LBN Legal business name Shaw, Richard K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Mar 30th, 2011 - about 13 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 1437167772 NPPES
Connecticut MEDICAID 001180884

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