Shaywitz, Bennett A

Shaywitz, Bennett A is an individual health care provider with primary practice located at 20 York St Ynhh Children'S Hospital, West Pavilion, 2Nd Floor, New Haven CT 06510-3220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Shaywitz, Bennett A can be contacted via phone (203) 785-4081.

Contact Information

Primary practice address
20 York St Ynhh Children'S Hospital, West Pavilion, 2Nd Floor New Haven CT 06510-3220
Phone: (203) 785-4081
Fax: (203) 785-5383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 015765 Connecticut

Profile Details

NPI number 1497730345
LBN Legal business name Shaywitz, Bennett A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Apr 4th, 2011 - about 15 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 1497730345 NPPES
Connecticut MEDICAID 001157650

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