Shreck, Evan
Shreck, Evan is an individual health care provider with primary practice located at 455 Lewis Ave Ste 210 , Meriden CT 06451-2121. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Shreck, Evan can be contacted via phone (203) 238-1241.Contact Information
Primary practice address
455 Lewis Ave Ste 210
Meriden CT 06451-2121
Phone: (203) 238-1241
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Urology | 208800000X | 67053 | Connecticut |
Profile Details
NPI number | 1912360231 |
---|---|
LBN Legal business name | Shreck, Evan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 4th, 2016 |
Last updated | Apr 23rd, 2021 - about 4 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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