Brokaw, Shantelle

Brokaw, Shantelle is an individual health care provider with primary practice located at 128 Cedar Ave , Waterbury CT 06705-2700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Brokaw, Shantelle can be contacted via phone (203) 757-9271.

Contact Information

Primary practice address
128 Cedar Ave Waterbury CT 06705-2700
Phone: (203) 757-9271
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 6831 Connecticut

Profile Details

NPI number 1114462561
LBN Legal business name Brokaw, Shantelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2016
Last updated Apr 14th, 2020 - about 6 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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