Shield, Dennis Edward
Shield, Dennis Edward is an individual health care provider with primary practice located at 12 Elmcrest Ter , Norwalk CT 06850-3937. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Other Service Providers / Specialist is his primary health care specialty. Shield, Dennis Edward can be contacted via phone (203) 853-4200.Contact Information
Primary practice address
12 Elmcrest Ter
Norwalk CT 06850-3937
Phone: (203) 853-4200
Fax: (203) 854-9285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 15022 | Connecticut |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 015022 | Connecticut |
Profile Details
| NPI number | 1215028972 |
|---|---|
| LBN Legal business name | Shield, Dennis Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | May 28th, 2013 - about 11 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 | 1215028972 | NPPES |
| Connecticut | Other | 010015022CT01 | ANTHEM BC BS |
| Connecticut | Other | 020665 | ANTHEM BC BS |
| Connecticut | MEDICAID | 001150226 | ANTHEM BC BS |
| Connecticut | Other | 340003225 | ANTHEM BC BS |
| Connecticut | Other | 4270070 | ANTHEM BC BS |
| Connecticut | Other | 150220 | ANTHEM BC BS |
| Connecticut | Other | ZS919 | ANTHEM BC BS |
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