Shea, Peter Hagerty
Shea, Peter Hagerty is an individual health care provider with primary practice located at 12 Case St Ste 103, Norwich CT 06360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shea, Peter Hagerty can be contacted via phone (860) 889-0147.Contact Information
Primary practice address
12 Case St Ste 103
Norwich CT 06360
Phone: (860) 889-0147
Fax: (860) 887-7255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 243591 | Connecticut |
Profile Details
| NPI number | 1780642140 |
|---|---|
| LBN Legal business name | Shea, Peter Hagerty |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1780642140 | NPPES |
| Connecticut | Other | 010024359CT01 | ANTHEM BLUE CROSS |
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