Shannon B Beausoleil I, MD
Pediatrics in West Hartford, Connecticut
1942291653- Practice location
- 1216 Farmington Ave Ste 202, West Hartford, CT 06107-2673
- Phone
- 860-236-0331
- Fax
- 860-263-8697
- Last updated
- June 22, 2021
Shannon B. Beausoleil is a Pediatrics based in West Hartford, CT. Shannon B. Beausoleil practices in West Hartford, CT and has the professional credentials of MD. The NPI Number for Shannon B. Beausoleil is 1942291653 and holds a License No. 043733 (CT). The current practice location address for Shannon B. Beausoleil is 1216 Farmington Ave Ste 202, West Hartford, CT 06107-2673 and can be reached out via phone at 860-236-0331 and via fax at 860-263-8697.
Provider Profile Details
- NPI Number
- 1942291653
- Provider Name
- Shannon B. Beausoleil
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1216 Farmington Ave Ste 202, West Hartford, CT 06107-2673
- Phone Number
- 860-236-0331
- Fax Number
- 860-263-8697
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 2, 2005
- Last Update Date
- June 22, 2021
- Certification Date
- June 22, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1216 Farmington Ave Ste 202
West Hartford, CT 06107-2673 - City
- West Hartford
- State
- Connecticut
- Zip
- 06107-2673
- Phone Number
- 860-236-0331
- Fax Number
- 860-263-8697
Provider Business Mailing Address Details
- Address
- 1216 Farmington Ave Ste 202
West Hartford, CT 06107-2673 - City
- West Hartford
- State
- CT
- Zip
- 06107-2673
- Phone Number
- 860-236-0331
- Fax Number
- 860-263-8697
License Information
- License Number (1)
- 043733
- License State (1)
- CT
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 043733
- License State (2)
- CT
- Taxonomy (2)
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Shannon B Beausoleil I, MD?
The NPI number of Shannon B Beausoleil I, MD is 1942291653. It was assigned on November 2, 2005 and is currently active in the NPPES registry.
What is the specialty of Shannon B Beausoleil I, MD?
Shannon B Beausoleil I, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 043733.
Where does Shannon B Beausoleil I, MD practice?
The practice location is 1216 Farmington Ave Ste 202, West Hartford, CT 06107-2673. The office can be reached at 860-236-0331 (phone) or 860-263-8697 (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 1942291653 directly on the NPPES registry website.