Shichman, Steven Jon

Shichman, Steven Jon is an individual health care provider with primary practice located at 85 Seymour St Ste 416, Hartford CT 06106-5501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Shichman, Steven Jon can be contacted via phone (860) 947-8500.

Contact Information

Primary practice address
85 Seymour St Ste 416 Hartford CT 06106-5501
Fax: (860) 524-8643
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 029239 Connecticut

Profile Details

NPI number 1578558201
LBN Legal business name Shichman, Steven Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jul 12th, 2007 - about 19 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 1578558201 NPPES
Massachusetts MEDICAID 3166503
Massachusetts Other 0S0310
Massachusetts Other 727046
Massachusetts Other P401879
Massachusetts Other 2055976
Massachusetts Other 010029239CT01
Massachusetts Other 26212
Massachusetts Other 0178444 001

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