Beausoleil, Shannon B.

Beausoleil, Shannon B. is an individual health care provider with primary practice located at 1216 Farmington Ave Ste 202 , West Hartford CT 06107-2673. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Beausoleil, Shannon B. can be contacted via phone (860) 236-0331.

Contact Information

Primary practice address
1216 Farmington Ave Ste 202 West Hartford CT 06107-2673
Phone: (860) 236-0331
Fax: (860) 263-8697
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 043733 Connecticut
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 043733 Connecticut

Profile Details

NPI number 1942291653
LBN Legal business name Beausoleil, Shannon B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jun 22nd, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942291653 NPPES
Massachusetts Other 3352025 AETNA
Massachusetts MEDICAID 1302469 AETNA
Massachusetts Other 218498 AETNA

Popular Providers