Burns, Shawn Alexander

Burns, Shawn Alexander is an sole proprietor health care provider with primary practice located at 775 Main St , Stratford CT 06615-7406. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Burns, Shawn Alexander can be contacted via phone (203) 377-2020.

Contact Information

Primary practice address
775 Main St Stratford CT 06615-7406
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 002741 Connecticut

Profile Details

NPI number 1912170408
LBN Legal business name Burns, Shawn Alexander
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2008
Last updated May 4th, 2010 - about 16 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 1912170408 NPPES
Connecticut MEDICAID 008004194

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