Shaps, Berett Paige

Shaps, Berett Paige is an individual health care provider with primary practice located at 40 Mansfield Ave , Willimantic CT 06226-2018. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shaps, Berett Paige can be contacted via phone (860) 450-7471.

Contact Information

Primary practice address
40 Mansfield Ave Willimantic CT 06226-2018
Phone: (860) 450-7471
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 254837 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 49318 Connecticut

Profile Details

NPI number 1710215215
LBN Legal business name Shaps, Berett Paige
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2009
Last updated Feb 10th, 2012 - about 14 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 1710215215 NPPES
Connecticut MEDICAID 008033892

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