Shinbaum, Lawrence

Shinbaum, Lawrence is an sole proprietor health care provider with primary practice located at 300 Seaside Ave , Milford CT 06460-4603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Shinbaum, Lawrence can be contacted via phone (203) 876-4178.

Contact Information

Primary practice address
300 Seaside Ave Milford CT 06460-4603
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 040727 Connecticut
Other Service Providers / Specialist 174400000X 040727 Connecticut

Profile Details

NPI number 1104814904
LBN Legal business name Shinbaum, Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2005
Last updated Oct 20th, 2013 - about 12 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 1104814904 NPPES
Connecticut MEDICAID 001407271

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