Shield, Dennis Edward

Shield, Dennis Edward is an individual health care provider with primary practice located at 12 Elmcrest Ter , Norwalk CT 06850-3937. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Other Service Providers / Specialist is his primary health care specialty. Shield, Dennis Edward can be contacted via phone (203) 853-4200.

Contact Information

Primary practice address
12 Elmcrest Ter Norwalk CT 06850-3937
Phone: (203) 853-4200
Fax: (203) 854-9285
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 15022 Connecticut
Allopathic & Osteopathic Physicians / Urology 208800000X 015022 Connecticut

Profile Details

NPI number 1215028972
LBN Legal business name Shield, Dennis Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated May 28th, 2013 - about 12 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 1215028972 NPPES
Connecticut Other 010015022CT01 ANTHEM BC BS
Connecticut Other 020665 ANTHEM BC BS
Connecticut MEDICAID 001150226 ANTHEM BC BS
Connecticut Other 340003225 ANTHEM BC BS
Connecticut Other 4270070 ANTHEM BC BS
Connecticut Other 150220 ANTHEM BC BS
Connecticut Other ZS919 ANTHEM BC BS

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