Active NPIIndividual provider

Candice E Shea, MD

Obstetrics & Gynecology in Southington, Connecticut

NPI Number1548447170
Practice location
1131 West St, Building 2, Southington, CT 06489-6006
Fax
860-276-6801
Last updated
April 12, 2010

Candice Ellen Shea is an Obstetrics & Gynecology based in Southington, CT. Candice Ellen Shea practices in Southington, CT and has the professional credentials of MD. The NPI Number for Candice Ellen Shea is 1548447170 and holds a License No. 001836 (GA). The current practice location address for Candice Ellen Shea is 1131 West St, Building 2, Southington, CT 06489-6006 and can be reached out via phone at 860-276-6800 and via fax at 860-276-6801.

Provider Profile Details

NPI Number
1548447170
Provider Name
Candice Ellen Shea
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1131 West St, Building 2, Southington, CT 06489-6006
Phone Number
860-276-6800
Fax Number
860-276-6801
Primary Taxonomy
Obstetrics & Gynecology · 207V00000X
Sole Proprietor
No
Provider Enumeration Date
January 25, 2008
Last Update Date
April 12, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1131 West St
Building 2
Southington, CT 06489-6006
Zip
06489-6006
Phone Number
860-276-6800
Fax Number
860-276-6801
Southington, CT 06489Get directions →

Provider Business Mailing Address Details

Address
1131 West St
Building 2
Southington, CT 06489-6006
City
Southington
State
CT
Zip
06489-6006
Phone Number
860-276-6800
Fax Number
860-276-6801

License Information

License Number (1)
001836
License State (1)
GA
Taxonomy (1)
Obstetrics & Gynecology · 207V00000X
License Number (2)
48592
License State (2)
CT
Taxonomy (2)
Obstetrics & Gynecology · 207V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Candice E Shea, MD?

The NPI number of Candice E Shea, MD is 1548447170. It was assigned on January 25, 2008 and is currently active in the NPPES registry.

What is the specialty of Candice E Shea, MD?

Candice E Shea, MD is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in GA under license number 001836.

Where does Candice E Shea, MD practice?

The practice location is 1131 West St, Building 2, Southington, CT 06489-6006. The office can be reached at 860-276-6800 (phone) or 860-276-6801 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548447170 directly on the NPPES registry website.

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