Shields, Milton Bruce
Shields, Milton Bruce is an individual health care provider with primary practice located at 40 Temple St Suite 3-A, New Haven CT 06510-2715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Shields, Milton Bruce can be contacted via phone (203) 785-2020.Contact Information
Primary practice address
40 Temple St Suite 3-A
New Haven CT 06510-2715
Phone: (203) 785-2020
Fax: (203) 785-6123
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 035787 | Connecticut |
Profile Details
NPI number | 1801879978 |
---|---|
LBN Legal business name | Shields, Milton Bruce |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 22nd, 2005 |
Last updated | Apr 4th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801879978 | NPPES |
Connecticut | MEDICAID | 001357872 |
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