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Contact Information

SHANNON B KNAGGS, APRN
1450 CHAPEL STREET
NEW HAVEN, CT06511
 Phone: 203-789-4074
 Fax: 203-867-5534
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SHANNON B KNAGGS · (Male)

NPI # 1477575611
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 07/24/2006
Last updated 09/18/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 001902
  • CT Medicaid 004193116
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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