Shooks, Charles A.
Shooks, Charles A. is an individual health care provider with primary practice located at 90 Quarry St , Willimantic CT 06226-1225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shooks, Charles A. can be contacted via phone (860) 456-2246.Contact Information
Primary practice address
90 Quarry St
Willimantic CT 06226-1225
Phone: (860) 456-2246
Fax: (860) 450-1660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 1168244 | Connecticut |
Profile Details
| NPI number | 1164421145 |
|---|---|
| LBN Legal business name | Shooks, Charles A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164421145 | NPPES |
| Connecticut | Other | 1168244 | STATE LICENSE |
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