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Contact Information

SHANE DUELL
34 MAPLE ST
NORWALK, CT06850-3815
 Phone: 203-852-2188
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SHANE DUELL · (Male)

NPI # 1326676156
Status Active
Credentials
Entity Individual
Enumeration date 03/28/2020
Last updated 06/23/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 4993
Hospital affiliation(s)
  • MIDSTATE MEDICAL CENTER - (Acute Care)
    435 LEWIS AVE
    MERIDEN, CT 06450
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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