Shortell, Robert M

Shortell, Robert M is an sole proprietor health care provider with primary practice located at 28 Shunpike Rd , Cromwell CT 06416-2454. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Shortell, Robert M can be contacted via phone (860) 635-4455.

Contact Information

Primary practice address
28 Shunpike Rd Cromwell CT 06416-2454
Phone: (860) 635-4455
Fax: (860) 635-0499
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 001242 Connecticut

Profile Details

NPI number 1679571053
LBN Legal business name Shortell, Robert M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679571053 NPPES
Connecticut MEDICAID 004178035

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