Bryant, Janice Shopland

Bryant, Janice Shopland is an individual health care provider with primary practice located at 150 Mansfield Ave , Willimantic CT 06226-2026. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bryant, Janice Shopland can be contacted via phone (860) 456-2232.

Contact Information

Primary practice address
150 Mansfield Ave Willimantic CT 06226-2026
Phone: (860) 456-2232
Fax: (860) 456-2256
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 001562 Connecticut

Profile Details

NPI number 1851335244
LBN Legal business name Bryant, Janice Shopland
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 11th, 2008 - about 18 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 1851335244 NPPES
Connecticut Other 080001562 ANTHEM BC
Connecticut Other 2V8093 ANTHEM BC
Connecticut MEDICAID 004139300 ANTHEM BC

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